Individual provider Active NPI

Nicholas C Van Buren, M.D.

  • Otolaryngology Physician
  • Spokane Valley, WA
National Provider Identifier
1588955785
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.MD.60632816 Issued in WA
Practice address
1424 N McDonald Rd Ste 101
Spokane Valley, WA 99216-6017
Phone
(508) 928-7272
NPI assigned
Apr 22, 2011
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD.MD.60632816 WA Primary

Addresses

Primary practice location

1424 N McDonald Rd Ste 101
Spokane Valley, WA 99216-6017

Mailing address

1424 N McDonald Rd Ste 101
Spokane Valley, WA 99216-6017
Phone (508) 928-7272

Other names 1

  • Nicholas C Vanburen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160531001443 WA Practitioner - Otolaryngology 6608006614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1424 N McDonald Rd
Suite 101
Spokane Valley, WA 99216-1088
Phone (509) 928-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
100
Improvement activities
40
Cost
25.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.60632816WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Valley Ear Nose & Throat PS CurrentSince Jul 1, 2016 Accepting new patients
Spokane Valley Ear, Nose &Throat, P.S. CurrentSince Jul 1, 2016 Accepting new patients

Locations

1424 N McDonald Rd
Ste 101
Spokane Valley, WA 99216
Phone (509) 928-1287

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72522
  • Direct secure messaging: nicholas.vanburen@svent.directbygreenway.com

Organizations & group practices 2

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1588955785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N MCDONALD RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992166017",
            "telephone_number": "508-928-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N MCDONALD RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992166017",
            "telephone_number": "508-928-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD.MD.60632816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "VANBUREN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.