Individual provider Active NPI

Todd Michael Van Ye, MD

  • Plastic and Reconstructive Surgery Physician
  • Neenah, WI
National Provider Identifier
1679569008
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
31623020 Issued in WI
Practice address
425 S Commercial St
Neenah, WI 54956-2526
Phone
(920) 725-0700
Fax
(920) 725-7978
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 31623020 WI Primary

Addresses

Primary practice location

425 S Commercial St
Neenah, WI 54956-2526

Mailing address

425 S Commercial St
Neenah, WI 54956-2526
Phone (920) 725-0700

Other identifiers 1

IdentifierTypeStateIssuer
32319300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110124000705 WI Practitioner - Plastic and Reconstructive Surgery 3072568476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31623020WIMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: tvanye150235@direct.froedtert.com

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679569008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562526",
            "telephone_number": "920-725-0700",
            "fax_number": "920-725-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562526",
            "telephone_number": "920-725-0700",
            "fax_number": "920-725-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN YE",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "31623020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32319300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.