Active NPI
Pieter J Vanderlijn, M.D.
- Diagnostic Radiology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01060551A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34201200 | Medicaid | WI | |
| 01060551A | Other | IN | INDIANA LICENCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44467 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Saint Elizabeths Hospital of Wabasha Inc | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Saint Elizabeths Hospital of Wabasha Inc | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | 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
- pvanderlijn635763@direct.emplifyhealth.org
- pvanderlij@yourcarecommunity.org
- 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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- Critical Access Hospital
- Clinton, IN
- NPI 1306844519
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
-
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.