John Vandruff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15630 Issued in AZ

Practice address

111 W Cedar LN
Suite a
Payson, AZ 85541-5417

Phone

(928) 472-4675

Fax

(928) 472-3431

NPI assigned

Jul 14, 2005

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Baylor College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care - Payson Home health agency, Payson, AZ, CCN 037114
• Arizona Care Hospice Hospice, Fountain Hills, AZ, CCN 031645
• Quality Hospice Care, Inc. Hospice, Prescott Valley, AZ, CCN 031609
• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.vandruff.11@33227.direct.athenahealth.com

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.

• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705
  NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD

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

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568844181
  Care Compare affiliation
• Freedom Group LLC

  dba Arizona Care Hospice

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1730564220
  Care Compare affiliation
• Quality Hospice Care, LLC

  dba Arizona Care Hospice

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1316215494
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1700885563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CEDAR LN",
            "address_2": "SUITE A",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415417",
            "telephone_number": "928-472-4675",
            "fax_number": "928-472-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDRUFF",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "15630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0850760",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271122",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Rim Country Dialysis)
• Troy S Ford OD PC (Payson Eye Care Center)
• Gerilyn Kay Trulove, PA-C
• Chika Ugorji, M.D.
• James Edward Vandruff, DO
• Timothy Rolf Veenstra, M.D.
• VHS Arizona Heart Institute Inc
• Lynne A Vigil, N.P.
• Lauren Marie Vlahopoulos
• Darrell D Wadas, MD

• Family Medicine Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.

Verify at the official NPI Registry.