Individual provider Active NPI

James Craig Vandewall, MD

  • Rheumatology Physician
  • Olean, NY
National Provider Identifier
1609872795
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
195467-1 Issued in NY
Practice address
415 N 8TH St
Olean, NY 14760-2237
Phone
(716) 372-9399
Fax
(716) 373-5530
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 195467 NY
Rheumatology Physician 207RR0500X 195467-1 NY Primary

Addresses

Primary practice location

415 N 8TH St
Olean, NY 14760-2237

Mailing address

415 N 8TH St
P.O. Box 1208
Olean, NY 14760-6208
Phone (716) 372-9399

Other identifiers 2

IdentifierTypeStateIssuer
P00079354OtherNYRR MEDICARE
01482237MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jvandewall212232@direct.urmc.rochester.edu Direct
Direct Messaging Address jvandewall212232@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040326000587 NY Practitioner - Rheumatology 6800788878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Albany Medical College of Union University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1504 W State St
Olean, NY 14760-2040
Phone (585) 596-0145

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

7309 Seneca Rd N
Suite 114
Hornell, NY 14843-9691
Phone (585) 596-0145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195467NYMDRheumatology Physician
195467-1NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince May 1, 2022 Accepting new patients
Jones Medical Services, PC CurrentSince May 1, 2022 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince May 1, 2022 Accepting new patients

Locations

73 Buffalo St
Canandaigua, NY 14424

73 Buffalo St
Ste 100
Canandaigua, NY 14424

7309 Seneca Rd N
Ste 116
Hornell, NY 14843
Phone (607) 454-4400

415 N 8th St
Olean, NY 14760
Phone (716) 372-9399

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

127 N Main St
Wellsville, NY 14895
Phone (585) 593-6800

Interoperability endpoints

  • Direct secure messaging: jvandewall212232@direct.urmc.rochester.edu

Organizations & group practices 4

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 8

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1609872795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 8TH ST",
            "address_2": "P.O. BOX 1208",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147606208",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWALL",
        "first_name": "JAMES",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "195467",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "195467-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00079354",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01482237",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvandewall212232@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvandewall212232@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.