Active NPI
Ronald Vanderlaan, MD
- Cardiovascular Disease Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301046234
- Practice address
- 655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622 - Phone
- (616) 900-9911
- Fax
- (616) 900-9862
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301046234 | MI | Primary |
Addresses
Primary practice location
655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622
Mailing address
655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622
Phone (616) 900-9911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2939555 | Other | MI | CIGNA |
| 1447299599 | Other | MI | TRICARE |
| MEMBER PTAN P0061774 | Other | MI | RAILROAD MEDICARE |
| 1447299599 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Michigan Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29877 Telegraph Rd
Suite 11
Southfield, MI 48034-1332
Phone (248) 354-5511
655 Kenmoor Ave SE
101 Greater Cardiology
Grand Rapids, MI 49546-8622
Phone (661) 900-9911
Hospital & facility affiliations
- Spectrum Health
- Mercy Health Saint Mary'S
- Corewell Health Pennock Hospital
- Spectrum Health United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.52 of 100
- Quality
- 95.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Imaging Center PC | Current | Accepting new patients | |
| Proscan Imaging Southfield PLLC | Current | Accepting new patients | |
| The Imaging Center PC | Current | Accepting new patients | |
| West Michigan Heart | Cardiovascular Disease | Past | Accepting new patients |
| Amd Southfield Michigan - Limited Partnership | Past | Accepting new patients |
Locations
1625 Leonard St NE
Ste C
Grand Rapids, MI 49505
Phone (616) 288-9446
1625 Leonard St NE
Grand Rapids, MI 49505
Phone (516) 288-9446
29877 Telegraph Rd
Ste 11
Southfield, MI 48034
Phone (248) 354-5511
Interoperability endpoints
- rvanderlaan6308@epic00.corewelldirect.org
Organizations & group practices 6
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
- Southfield, MI
- NPI 1023572831
-
- Cardiovascular Disease Physician
- Grand Rapids, MI
- NPI 1942482641
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1164224184
-
- Radiology Clinic/Center
- Grand Rapids, MI
- NPI 1356223879
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Southfield, MI
- NPI 1962458927
-
- Cardiovascular Disease Physician
- Grand Rapids, MI
- NPI 1174504021
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1447299599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 KENMOOR AVE SE STE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468622",
"telephone_number": "616-900-9911",
"fax_number": "616-900-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 KENMOOR AVE SE STE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468622",
"telephone_number": "616-900-9911",
"fax_number": "616-900-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLAAN",
"first_name": "RONALD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301046234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2939555",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1447299599",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "MEMBER PTAN P0061774",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447299599",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.