NPIMap

Individual provider Active NPI

Steven Paul Vander Leest, D.O.

  • Family Medicine Physician
  • Spirit Lake, IA
National Provider Identifier
1649286386
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
IA3729 Issued in IA
Practice address
2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158
Phone
(712) 336-3750
Fax
(712) 336-3730
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3729 IA
Family Medicine Physician 207Q00000X IA3729 IA Primary

Addresses

Primary practice location

2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158

Mailing address

2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158

Other identifiers 3

IdentifierTypeStateIssuer
07442684MedicaidIA
0144840OtherIAMEDICAID GROUP NUMBER
54897OtherIAMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061215000385 IA Practitioner - Family Practice 7618976861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

2301 Hwy 71
Spirit Lake, IA 51360-1184

2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230

Hospital & facility affiliations

  • Avera @ Home Home health agency, Estherville, IA, CCN 167120
  • Lakes Regional Healthcare Home Care Home health agency, Spirit Lake, IA, CCN 167106
  • Lakes Regional Healthcare Hospice Hospice, Spirit Lake, IA, CCN 161562
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Accura Healthcare of Spirit Lake Nursing home, Spirit Lake, IA, CCN 165528
  • Accura Healthcare of Milford Nursing home, Milford, IA, CCN 165402

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3729IAMDFamily Medicine Physician
IA3729IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Healthcare CurrentSince Sep 1, 2012 Accepting new patients
Lakes Regional Healthcare Current Accepting new patients
Lakes Regional Healthcare CurrentSince Sep 1, 2012 Accepting new patients
Lakes Regional Healthcare Past Accepting new patients

Locations

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

2700 23rd St
Ste C
Spirit Lake, IA 51360
Phone (712) 336-3750

Interoperability endpoints

  • Direct secure messaging: steven.vanderleest@avera.sdhealthlink.net

Organizations & group practices 7

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 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1649286386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "address_2": "STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "address_2": "STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-3750",
            "fax_number": "712-336-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER LEEST",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "IA3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07442684",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "0144840",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "54897",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.