NPIMap

Individual provider Active NPI

John Edward Vanmetre, M.D.

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1669474284
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1604 Issued in TX
Practice address
4504 N. Laurent St.
Victoria, TX 77901-2743
Phone
(361) 573-9999
Fax
(361) 573-9973
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19417 NE
Family Medicine Physician 207Q00000X P1604 TX Primary

Addresses

Primary practice location

4504 N. Laurent St.
Victoria, TX 77901-2743

Mailing address

4504 N. Laurent St.
Victoria, TX 77901-2743
Phone (361) 573-9999

Other identifiers 1

IdentifierTypeStateIssuer
01597OtherNEBLUE CROSS BLUE SHIELD NE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111108000047 TX Practitioner - Family Practice 6204963176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Health Center PLLCGroup PAC ID 2365544756, 2 clinicians
Crossroads Walk-in and Urgent Care Center PLLCGroup PAC ID 4284993718, 2 clinicians

Practice addresses (Care Compare)

4504 N Laurent St
Victoria, TX 77901-2743
Phone (361) 573-9999

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
  • Texas Home Health Skilled Services Home health agency, Victoria, TX, CCN 673133
  • Excel Complete Home Healthcare Inc Home health agency, Victoria, TX, CCN 677920
  • Elite Home Health Home health agency, Victoria, TX, CCN 457503
  • Pam Health at Home Home health agency, Buda, TX, CCN 747688
  • Greater Valley Hospice Alliance, LP Hospice, Harlingen, TX, CCN 671629
  • Hospice of South Texas Inc Hospice, Victoria, TX, CCN 451525
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Pam Rehabilitation Hospital of Victoria Inpatient rehabilitation facility, Victoria, TX, CCN 673056
  • Pam Specialty Hospital of Victoria North Inpatient rehabilitation facility, Victoria, TX, CCN 45TA94
  • Pam Specialty Hospital of Victoria North Long-term care hospital, Victoria, TX, CCN 452094
  • Riverside Oaks Nursing home, Victoria, TX, CCN 455726
  • Twin Pines Nursing and Rehabilitation Nursing home, Victoria, TX, CCN 675638
  • Twin Pines North Nursing and Rehabilitation Center Nursing home, Victoria, TX, CCN 676372
  • The Courtyard Rehabilitation and Healthcare Center Nursing home, Victoria, TX, CCN 675766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Apr 21, 2017 Accepting new patients
Crossroads Health Center, PLLC Family Medicine CurrentSince May 16, 2012 Accepting new patients
Crossroads Walk-in and Urgent Care Center, PLLC Family Medicine CurrentSince Dec 27, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 21, 2017 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Post Acute Medical at Victoria LLC Past Accepting new patients
Anadarko Indian Health Center Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

1403 Victoria Station Dr
Ste A
Victoria, TX 77901
Phone (361) 573-9999

4504 N Laurent St
Victoria, TX 77901
Phone (361) 573-9999

Organizations & group practices 11

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1669474284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 N. LAURENT ST.",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012743",
            "telephone_number": "361-573-9999",
            "fax_number": "361-573-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 N. LAURENT ST.",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012743",
            "telephone_number": "361-573-9999",
            "fax_number": "361-573-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMETRE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "19417",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "01597",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.