Individual provider Active NPI

Gary Van Heuvelen, MD

  • Radiation Oncology Physician
  • Post Falls, ID
National Provider Identifier
1629060256
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M5310 Issued in ID
Practice address
1440 E Mullan Ave
Post Falls, ID 83854-9064
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 12377C WY
Radiation Oncology Physician 2085R0001X M5310 ID Primary

Addresses

Primary practice location

1440 E Mullan Ave
Post Falls, ID 83854-9064

Mailing address

PO Box 3868
Spokane, WA 99220-3868
Phone (509) 228-1000

Other identifiers 2

IdentifierTypeStateIssuer
003989600MedicaidID
920003975OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, MN, WY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080710000150 WA Practitioner - Radiation Oncology 4981591062 Reassigns benefits to 2 organizations
I20101129000937 ID Practitioner - Radiation Oncology 4981591062 Reassigns benefits to 1 organization
I20190705000033 MN Practitioner - Radiation Oncology 4981591062 Reassigns benefits to 1 organization
I20191125001752 WY Practitioner - Radiation Oncology 4981591062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of North Dakota School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1204 N Vercler Rd
Spokane, WA 99216-1020
Phone (509) 228-1000

1440 E Mullan Ave
Post Falls, ID 83854-9064
Phone (509) 228-1000

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5310IDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Health Services Association Current Accepting new patients
Range Regional Health Services CurrentSince Jun 30, 2019 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Nov 11, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Aug 15, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Nov 11, 2019 Accepting new patients
Range Regional Health Services CurrentSince Jun 30, 2019 Accepting new patients
Multicare Health System CurrentSince Feb 21, 2025 Accepting new patients
Cancer Care Northwest Centers P S CurrentSince Aug 1, 2014 Accepting new patients
Multicare Health System CurrentSince Feb 21, 2025 Accepting new patients
Cancer Care Northwest Centers P S Radiation Oncology CurrentSince Aug 1, 2014 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

700 W Ironwood Dr
Ste 130
Coeur D Alene, ID 83814
Phone (208) 625-4700

504 6th St
Lewiston, ID 83501
Phone (208) 799-5000

1440 E Mullan Ave
Post Falls, ID 83854
Phone (208) 619-4100

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

910 W 5th Ave
Ste 102
Spokane, WA 99204
Phone (509) 228-1635

101 W 8th Ave
#L3
Spokane, WA 99204

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

101 W 8th Ave
Lowr
Spokane, WA 99204
Phone (509) 474-3336

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: gvanheuvelen43493@edirect.chehr.org
  • Direct secure messaging: gvanheuvelen351086@direct.multicare.org

Organizations & group practices 12

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 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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1629060256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203868",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MULLAN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549064",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HEUVELEN",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WY",
            "license": "12377C",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "M5310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003989600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920003975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.