Individual provider Active NPI

Mia Lynne Vaneken, D.O.

  • Gynecology Physician
  • Chandler, AZ
National Provider Identifier
1457324576
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
3984 Issued in AZ
Practice address
2181 E Pecos Rd Ste 1
Chandler, AZ 85225-6140
Phone
(480) 597-4835
Fax
(833) 450-5489
NPI assigned
Feb 9, 2006
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 3984 AZ Primary

Addresses

Primary practice location

2181 E Pecos Rd Ste 1
Chandler, AZ 85225-6140

Mailing address

3317 S Higley Rd Ste 114-440
Gilbert, AZ 85297-5436
Phone (480) 597-4835

Other identifiers 1

IdentifierTypeStateIssuer
872532MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040520000031 AZ Practitioner - Obstetrics/Gynecology 0941291850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Women for Women PCGroup PAC ID 7214959618, 4 clinicians

Practice addresses (Care Compare)

2181 E Pecos Rd
Suite 1
Chandler, AZ 85225-6140
Phone (480) 597-4835

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Women for Women, PC Gynecology CurrentSince Sep 23, 2005 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Momdoc, LLC Obstetrics & Gynecology PastSince Jan 1, 2014 Accepting new patients

Locations

215 S Dobson Rd
Chandler, AZ 85224

2181 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 398-3638

485 S Dobson Rd
Ste 200
Chandler, AZ 85224
Phone (480) 782-0993

1501 N Gilbert Rd
Ste 180
Gilbert, AZ 85234
Phone (480) 782-0993

3317 S Higley Rd
Ste 114440
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 314
Gilbert, AZ 85297
Phone (480) 782-0993

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

3815 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 782-0993

21321 E Ocotillo Rd
Ste 127
Queen Creek, AZ 85142
Phone (480) 888-7271

22711 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 782-0993

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: mia.van.eken.1@30624.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1457324576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD STE 114-440",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "480-597-4835",
            "fax_number": "833-450-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256140",
            "telephone_number": "480-597-4835",
            "fax_number": "833-450-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEKEN",
        "first_name": "MIA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.