Individual provider Active NPI

Aaron James Vandenbos, M.D.

  • Orthopaedic Surgery Physician
  • Moscow, ID
National Provider Identifier
1740571066
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M15852 Issued in ID
Practice address
2500 W a St Ste 201
Moscow, ID 83843-6000
Phone
(208) 883-2828
Fax
(208) 882-2179
NPI assigned
Apr 20, 2011
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10041565 TX
Orthopaedic Surgery Physician 207X00000X 27174 NE
Orthopaedic Surgery Physician 207X00000X MD61158053 WA
Orthopaedic Surgery Physician 207X00000X M15852 ID Primary

Addresses

Primary practice location

2500 W a St Ste 201
Moscow, ID 83843-6000

Mailing address

2500 W a St Ste 201
Moscow, ID 83843-6000
Phone (208) 883-2828

Other practice location 1

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone (509) 332-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210804001470 WA Practitioner - Orthopedic Surgery 0941443832 Reassigns benefits to 2 organizations
I20210914002480 ID Practitioner - Orthopedic Surgery 0941443832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Toledo College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 W a St
Suite 201
Moscow, ID 83843-6000
Phone (208) 332-2828

825 SE Bishop Blvd
Pullman, WA 99163-5517

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M15852IDMDOrthopaedic Surgery Physician
27174NEMDOrthopaedic Surgery Physician
BP10041565TXMDOrthopaedic Surgery Physician
MD61158053WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Sep 1, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828

825 SE Bishop Blvd
Ste 120
Pullman, WA 99163
Phone (509) 332-2828

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: avandenbos689761@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1740571066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W A ST STE 201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838436000",
            "telephone_number": "208-883-2828",
            "fax_number": "208-882-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W A ST STE 201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838436000",
            "telephone_number": "208-883-2828",
            "fax_number": "208-882-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 SE Bishop Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635517",
            "country_code": "US",
            "telephone_number": "509-332-2828",
            "fax_number": "509-334-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBOS",
        "first_name": "AARON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10041565",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "27174",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD61158053",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M15852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.