Active NPI
Joel Patrick Veldhouse, M.D.
- Internal Medicine Physician
- Wayland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301097379
- Practice address
- 3587 12TH St
Wayland, MI 49348-9569 - Phone
- (616) 648-4933
- NPI assigned
- Jul 30, 2010
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301097379 | MI | |
| Internal Medicine Physician | 207R00000X | 4301097379 | MI | Primary |
Addresses
Primary practice location
3587 12TH St
Wayland, MI 49348-9569
Mailing address
3587 12TH St
Wayland, MI 49348-9569
Phone (269) 792-2263
Other practice location 1
3235 N Wellness Dr
Building A, Suite 120A
Holland, MI 49424-7264
Phone (616) 399-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3587 12TH St
Wayland, MI 49348-9569
Phone (269) 792-2263
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 12TH Street PLLC | Internal Medicine | Current | Accepting new patients |
Locations
3587 12th St
Wayland, MI 49348
Phone (269) 792-2263
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFBDD
Organizations & group practices 1
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 12th Street Internal Medicine and Pediatrics
- Internal Medicine Physician
- Wayland, MI
- NPI 1790470409
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1659685741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 12TH ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493489569",
"telephone_number": "269-792-2263",
"fax_number": "269-792-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3587 12TH ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493489569",
"telephone_number": "616-648-4933"
}
],
"practiceLocations": [
{
"address_1": "3235 N Wellness Dr",
"address_2": "Building A, Suite 120A",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494247264",
"country_code": "US",
"telephone_number": "616-399-0902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELDHOUSE",
"first_name": "JOEL",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301097379",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301097379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayland, MI
- Melissa Vandermeulen
- Vanessa Fitzpatrick LLC (Accessible Care Mobile Wellness)
- Megan Vanhouten
- Matthew Vanover, DC
- Elizabeth Marie Vela, COTA/L
- Tyler Mark Veneman, DDS
- Haley Vos, PA-C
- Wayland Area Emergency Medical Services
- Wayland Area EMS (Wayland Ambulance)
- Wayland Village Drug Inc (Wayland Village Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.