Active NPI
Peter Vaneerden, M.D., M.S.
- Maternal & Fetal Medicine Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 10833
- Practice address
- 801 Broadway N
Fargo, ND 58122 - Phone
- (701) 234-2241
- Fax
- (701) 234-4877
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 10833 | ND | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 5607 | SD |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58122
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1700 11th St W
Williston, ND 58801-4500
Phone (701) 774-7687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6201360 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Pennsylvania State University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5607 | SD | MD | Pharmacist |
| 10833 | ND | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients |
Locations
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
625 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-5858
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
1700 11th St W
Williston, ND 58801
Phone (701) 310-5090
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Eyewear Supplier
- International Falls, MN
- NPI 1013334457
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1851397509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "58122",
"telephone_number": "701-234-2241",
"fax_number": "701-234-4877"
}
],
"practiceLocations": [
{
"address_1": "1700 11th St W",
"address_purpose": "LOCATION",
"city": "Williston",
"state": "ND",
"postal_code": "588014500",
"country_code": "US",
"telephone_number": "701-774-7687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANEERDEN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "ND",
"license": "10833",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SD",
"license": "5607",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6201360",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.