Individual provider Active NPI

Dominique Vande Maele, M.D.

  • Surgery Physician
  • Brownsville, TX
National Provider Identifier
1437256815
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K3511 Issued in TX
Practice address
100B E Alton Gloor Blvd
Ste 260
Brownsville, TX 78526-3376
Phone
(956) 350-3901
Fax
(956) 350-3900
NPI assigned
Sep 20, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K3511 TX Primary
Colon & Rectal Surgery Physician 208C00000X K3511 TX

Addresses

Primary practice location

100B E Alton Gloor Blvd
Ste 260
Brownsville, TX 78526-3376

Mailing address

100B E Alton Gloor Blvd
Ste 260
Brownsville, TX 78526-3376
Phone (956) 350-3901

Other identifiers 2

IdentifierTypeStateIssuer
030137601MedicaidTX
030137602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DOMINIQUE.VANDEMAELE@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000614 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7618035619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownsville Surgery PLLCGroup PAC ID 2062740772, 3 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Suite 260B
Brownsville, TX 78526-3389
Phone (956) 350-3901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.42
Promoting interoperability
100
Improvement activities
40
Cost
77.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Surgery, PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

100 E Alton Gloor Blvd
Ste 260B
Brownsville, TX 78526
Phone (956) 350-3901

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1437256815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B E ALTON GLOOR BLVD",
            "address_2": "STE 260",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263376",
            "telephone_number": "956-350-3901",
            "fax_number": "956-350-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B E ALTON GLOOR BLVD",
            "address_2": "STE 260",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263376",
            "telephone_number": "956-350-3901",
            "fax_number": "956-350-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE MAELE",
        "first_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K3511",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "K3511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030137601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030137602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DOMINIQUE.VANDEMAELE@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "100B E Alton Gloor Blvd",
            "address_2": "STE 260",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785263376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.