Individual provider Active NPI

Ronald Vanderlaan, MD

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
National Provider Identifier
1447299599
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301046234 Issued in MI
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

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2939555OtherMICIGNA
1447299599OtherMITRICARE
MEMBER PTAN P0061774OtherMIRAILROAD MEDICARE
1447299599MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000789 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Surgery 9830001577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Michigan Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proscan Imaging Southfield PLLCGroup PAC ID 0446591432, 4 clinicians
Ronald Vanderlaan, MD, PLLCGroup PAC ID 0143304667, 3 clinicians

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 Hospital, Grand Rapids, MI, CCN 230038
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
The Imaging Center PC CurrentSince Sep 1, 2025 Accepting new patients
Proscan Imaging Southfield PLLC CurrentSince Aug 26, 2024 Accepting new patients
The Imaging Center PC CurrentSince Oct 1, 2025 Accepting new patients
West Michigan Heart Cardiovascular Disease Past Accepting new patients
Amd Southfield Michigan - Limited Partnership PastSince Aug 26, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.