Individual provider Active NPI

Thomas C Vanderheyden, MD

  • Emergency Medicine Physician
  • Mobile, AL
National Provider Identifier
1720026438
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27874 Issued in AL
Practice address
3719 Dauphin St
Mobile, AL 36608-1753
Phone
(251) 626-5377
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A90522 CA
Emergency Medicine Physician 207P00000X 27874 AL Primary

Addresses

Primary practice location

3719 Dauphin St
Mobile, AL 36608-1753

Mailing address

1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Other practice location 1

1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Other identifiers 2

IdentifierTypeStateIssuer
00A905220MedicaidCA
51539305OtherALBCBS OF ALABAMA

Other names 1

  • Chad Vanderheyden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070409000624 AL Practitioner - Emergency Medicine 9931190840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care by the Bay, LLCGroup PAC ID 4284811522, 11 clinicians

Practice addresses (Care Compare)

1208 US Hwy 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.29

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90522CAMDAmbulatory Care Pharmacist
27874ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care by the Bay, LLC Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
USA Health Physician Billing Services LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Oct 29, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

181 Hillcrest Rd
Mobile, AL 36608
Phone (251) 341-3800

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1720026438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264254",
            "telephone_number": "251-626-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-626-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365264254",
            "country_code": "US",
            "telephone_number": "251-626-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERHEYDEN",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A90522",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "27874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A905220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51539305",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "VANDERHEYDEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.