Individual provider Active NPI

Patricia A Vanderpool, DPM

  • Podiatrist
  • Urbandale, IA
National Provider Identifier
1457391138
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00590 Issued in IA
Practice address
7517 Douglas Ave
Suite 15
Urbandale, IA 50322-3075
Phone
(515) 252-1550
Fax
(515) 252-8886
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00590 IA Primary

Addresses

Primary practice location

7517 Douglas Ave
Suite 15
Urbandale, IA 50322-3075

Mailing address

7517 Douglas Ave
Suite 15
Urbandale, IA 50322-3075
Phone (515) 252-1550

Other identifiers 1

IdentifierTypeStateIssuer
3128140MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001136 IA Practitioner - Podiatry 3678511243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7517 Douglas Ave
Suite 15
Urbandale, IA 50322-3075
Phone (515) 252-1550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1143
Removal or shaving of skin growth464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00590IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Foot Care, PC Podiatrist CurrentSince Jan 1, 1999 Accepting new patients

Locations

7517 Douglas Ave
Ste 15
Urbandale, IA 50322
Phone (515) 252-1550

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 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1457391138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 DOUGLAS AVE",
            "address_2": "SUITE 15",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223075",
            "telephone_number": "515-252-1550",
            "fax_number": "515-252-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 DOUGLAS AVE",
            "address_2": "SUITE 15",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223075",
            "telephone_number": "515-252-1550",
            "fax_number": "515-252-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128140",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.