Thomas E Van Der Kloot, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

015039 Issued in ME

Practice address

100 Foden Road
West Building Suite 103
South Portland, ME 04106

Phone

(207) 828-1122

Fax

(207) 828-0188

NPI assigned

Aug 31, 2006

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

Medicare fee-for-service enrollment

Enrolled in ME

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

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

47.43 of 100Reported as group

Quality

8.29

Promoting interoperability

100

Improvement activities

0

Cost

66.46

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tvanderkloot1219@direct.mmc.mainehealth.org
• Direct secure messaging: thomas.vanderkloot@direct.cma.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Chest Medicine Associates, PA

  • Pulmonary Disease Physician
  • South Portland, ME
  • NPI 1437255247
  Medicare reassignment NPD
• Calais Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Calais, ME
  • NPI 1376546143
  NPD
• Calais Community Hospital

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD
• Chest Medicine Associates, PA

  • Pulmonary Disease Physician
  • South Portland, ME
  • NPI 1154845568
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1720190044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER KLOOT",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "015039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urugo Residential Services, LLC
• Elizabeth Ruth Vaillancourt Poultney
• Elizabeth Sutcliffe Valentine, NP
• Katherine Elizabeth Valicenti
• Edwin I Van Bibber-Orr, LCPC-C
• Christie Lee Vankanegan, LMSW-CC
• Kalliope Varaklis, MD
• Thomas E Vaughan, MD
• Joshua Vaughn, M.D.
• Julie Wyona Vecchio, CCS, LADC

• Pulmonary Disease Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Pulmonary Disease Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.