Individual provider Active NPI

Jon Jay Van Der Veer, DO

  • Internal Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1649408808
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4189 Issued in IA
Practice address
7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone
(515) 650-4370
Fax
(515) 650-4373
NPI assigned
Jun 26, 2009
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8668 IA
Internal Medicine Physician 207R00000X 4189 IA Primary

Addresses

Primary practice location

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527

Mailing address

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone (515) 650-4370

Other identifiers 2

IdentifierTypeStateIssuer
P01140959OtherIARR MEDICARE
1649408808MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120605000519 IA Practitioner - Internal Medicine 5991969800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 Westown Pkwy
Suite 330
West Des Moines, IA 50266-2527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4189IAMDInternal Medicine Physician
R8668IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC Internal Medicine CurrentSince Dec 14, 2022 Accepting new patients
Uhs Midwest Behavioral Health LLC CurrentSince Oct 15, 2022 Accepting new patients
Hy-Vee Health PC Internal Medicine CurrentSince Dec 14, 2022 Accepting new patients
Hy-Vee Health Exemplar Care PLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1450 NW 114th St
Clive, IA 50325
Phone (515) 553-6200

215 10th St
Ste 110
Des Moines, IA 50309
Phone (402) 896-5000

7300 Westown Pkwy
Ste 320
West Des Moines, IA 50266
Phone (402) 896-5000

7300 Westown Pkwy
Ste 330
West Des Moines, IA 50266
Phone (515) 650-4370

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

Interoperability endpoints

  • Direct secure messaging: jon.vanderveer.1@25062.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1649408808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4370",
            "fax_number": "515-650-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER VEER",
        "first_name": "JON",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R8668",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "4189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01140959",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649408808",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.