Frederic E. Vanbastelaer, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01037766 Issued in IN

Practice address

371 Duke Dr
Richmond, IN 47374-4598

Phone

(765) 969-1181

NPI assigned

Apr 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fvanbastelaer305981@ecommunitydirect.com
• Direct secure messaging: fvanbastelaer305981@reidhealth.direct-ci.com

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.

• Reid Hospital & Health Care Services Inc

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1982633236
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1851357883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 DUKE DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744598",
            "telephone_number": "765-969-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 DUKE DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744598",
            "telephone_number": "765-969-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBASTELAER",
        "first_name": "FREDERIC",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01037766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upperline Healthcare PC
• Urological Care Inc
• Ahsan Imran Usmani, MD
• George Matthew Vail, M.D.
• Erin Valentine, RBT
• Stacey Vanpelt
• Jolene Vanwinkle
• Janet Vargas-Fritts
• Veatriz Vargas, RBT
• Justin Varghese

• Diagnostic Radiology Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.