Active NPI
Gary Van Heuvelen, MD
- Radiation Oncology Physician
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- M5310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003989600 | Medicaid | ID | |
| 920003975 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, MN, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5310 | ID | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Washington Health Services Association | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Cancer Care Northwest Centers P S | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Cancer Care Northwest Centers P S | Radiation Oncology | Current | 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
- gvanheuvelen43493@edirect.chehr.org
- 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.
-
dba Cancer Care Northwest
- Hematology & Oncology Physician
- Spokane Valley, WA
- NPI 1922072081
ID, Radiation Oncology
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Non-Pharmacy Dispensing Site
- Spokane, WA
- NPI 1144900705
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
dba County of Sweetwater
- Internal Medicine Physician
- Rock Springs, WY
- NPI 1437312436
-
dba MultiCare Rockwood Lab
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1154818326
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
dba Access Family Care
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.