Individual provider Active NPI

Pieter J Vanderlijn, M.D.

  • Diagnostic Radiology Physician
  • Carmel, IN
National Provider Identifier
1437188091
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01060551A Issued in IN
Practice address
11700 N Meridian St
Carmel, IN 46032-4656
Phone
(317) 688-2000
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44467 WI
Diagnostic Radiology Physician 2085R0202X 01060551A IN Primary

Addresses

Primary practice location

11700 N Meridian St
Carmel, IN 46032-4656

Mailing address

1512 High St
Rice Lake, WI 54868-1875
Phone (715) 236-2413

Other practice location 1

1512 High St
Rice Lake, WI 54868-1875
Phone (715) 236-2413

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 2

IdentifierTypeStateIssuer
34201200MedicaidWI
01060551AOtherININDIANA LICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040320000078 WI Practitioner - Diagnostic Radiology 5698666717 Reassigns benefits to 17 organizations
I20050826000089 IN Practitioner - Diagnostic Radiology 5698666717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (281) 870-4592

7770 S Cross Cut TRL
Woodruff, WI 54568-9668
Phone (281) 870-4592

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44467WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Feb 15, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Feb 17, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 26, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Feb 7, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Feb 7, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 7, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 16, 2022 Accepting new patients
St. Joseph'S Health Services, Inc CurrentSince Feb 17, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Feb 22, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 26, 2022 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 23, 2019 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 7, 2022 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 26, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Feb 7, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 26, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 26, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Feb 22, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 16, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Feb 15, 2022 Accepting new patients
Nufinity, LLC Diagnostic Radiology Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Nufinity - Woodlawn, LLC Diagnostic Radiology Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Franciscan Physician Network Past Accepting new patients
Franciscan Physician Network Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations (25 of 37)

5924 Reliable Pkwy
Chicago, IL 60686

408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

4001 Wabash Ave
Terre Haute, IN 47803
Phone (812) 238-7710

567 N 5th St
Terre Haute, IN 47809
Phone (812) 237-3632

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

5500 S US Highway 41
Terre Haute, IN 47802
Phone (812) 238-4599

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

Interoperability endpoints

  • Direct secure messaging: pvanderlijn635763@direct.emplifyhealth.org
  • Direct secure messaging: pvanderlij@yourcarecommunity.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 38

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 38

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437188091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HIGH ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681875",
            "telephone_number": "715-236-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324656",
            "telephone_number": "317-688-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 High St",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548681875",
            "country_code": "US",
            "telephone_number": "715-236-2413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERLIJN",
        "first_name": "PIETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "44467",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01060551A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34201200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENCE",
            "identifier": "01060551A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.