Active NPI
Ross C Vankleunen, DPM
- Podiatrist
- Peekskill, NY
National Provider Identifier
1790745131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0055311
- Practice address
- 2 Stowe Rd
Ste 6
Peekskill, NY 10566-2582 - Phone
- (914) 737-5416
- Fax
- (914) 737-5935
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0055311 | NY | Primary |
Addresses
Primary practice location
2 Stowe Rd
Ste 6
Peekskill, NY 10566-2582
Mailing address
2 Stowe Rd
Ste 6
Peekskill, NY 10566-2582
Phone (914) 737-5416
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01952345 | Medicaid | NY | |
| 050351 | Other | AMERIHEALTH | |
| 719066 | Other | MVP | |
| P1871060 | Other | OXFORD | |
| 5013105002 | Other | CIGNA | |
| 6201691 | Other | GHI | |
| 2C6242 | Other | HEALTHNET | |
| PA9901 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000124 | NY | Practitioner - Podiatry | 0648485615 | Practice locations: Peekskill, NY |
| O20100930022975 | NY | DME Supplier - Physician - Podiatry | 1557576527 | Practice locations: Peekskill, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2 Stowe Rd
Suite 6
Peekskill, NY 10566-2582
Phone (914) 737-5416
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.53 of 100
- Quality
- 67.05
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 377 |
| Removal or shaving of skin growth | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0055311 | NY | MD | Podiatrist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ross.vankleunen@direct.hvhc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1790745131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STOWE RD",
"address_2": "STE 6",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662582",
"telephone_number": "914-737-5416",
"fax_number": "914-737-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STOWE RD",
"address_2": "STE 6",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662582",
"telephone_number": "914-737-5416",
"fax_number": "914-737-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKLEUNEN",
"first_name": "ROSS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0055311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01952345",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "050351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "719066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1871060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5013105002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6201691",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C6242",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PA9901",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.