Active NPI
Timothy D. Vangelder, MD
- Family Medicine Physician
- Owatonna, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52721
- Practice address
- 2200 NW 26TH St
Owatonna, MN 55060-5503 - Phone
- (507) 451-1120
- Fax
- (507) 444-6287
- NPI assigned
- Dec 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52721 | MN | Primary |
| Family Medicine Physician | 207Q00000X | 52400 | WI |
Addresses
Primary practice location
2200 NW 26TH St
Owatonna, MN 55060-5503
Mailing address
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tvangelder87543@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
200 1St SWST
Rochester, MN 55905-0001
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
2250 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-3850
300 State Ave
Faribault, MN 55021-6319
Phone (507) 333-3300
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Hospital & facility affiliations
- Adara Home Health Inc
- Allina Health Home Health
- Mayo Clinic Health System - Albert Lea and Austin
- Mayo Clinic Health System - Waseca
- Mayo Clinic Health System - Mankato
- Owatonna Hospital
- Mayo Clinic Hospital Rochester
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52721 | MN | MD | Family Medicine Physician |
| 52400 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
2200 NW 26th St
Owatonna, MN 55060
Phone (507) 451-1120
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- tvangelder87543@ehrdirect.mayoclinicmsg.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1881018208
-
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
-
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
- General Acute Care Hospital
- Owatonna, MN
- NPI 1528025632
-
- Durable Medical Equipment & Medical Supplies
- Austin, MN
- NPI 1265462279
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
- Home Health Agency
- Minneapolis, MN
- NPI 1184661894
-
- Home Health Agency
- Minneapolis, MN
- NPI 1316985039
-
- General Acute Care Hospital
- Owatonna, MN
- NPI 1528025632
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owatonna, MN
- NPI 1619911179
Hospital
-
- Home Health Agency
- Minneapolis, MN
- NPI 1831909134
-
- Psychiatric Hospital Unit
- Owatonna, MN
- NPI 1881651990
-
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1831334424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NW 26TH ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550605503",
"telephone_number": "507-451-1120",
"fax_number": "507-444-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NW 26TH ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550605503",
"telephone_number": "507-451-1120",
"fax_number": "507-444-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGELDER",
"first_name": "TIMOTHY",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "52721",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "52400",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tvangelder87543@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "2200 NW 26th St",
"city": "Owatonna",
"state": "MN",
"country_code": "US",
"postal_code": "550605503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.