NPIMap

Individual provider Active NPI

Christopher J. Vandelune, D.O.

  • Family Medicine Physician
  • Cherokee, IA
National Provider Identifier
1871598557
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03566 Issued in IA
Practice address
115 E Maple St
Cherokee, IA 51012-1814
Phone
(712) 225-9003
Fax
(712) 225-9004
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03566 IA Primary

Addresses

Primary practice location

115 E Maple St
Cherokee, IA 51012-1814

Mailing address

115 E Maple St
Cherokee, IA 51012-1814
Phone (712) 225-9003

Other identifiers 1

IdentifierTypeStateIssuer
0438754MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001238 IA Practitioner - Family Practice 5496726440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Christopher J Vandelune DO PCGroup PAC ID 5799116984, 2 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

115 E Maple St
Sioux Valley Family Health
Cherokee, IA 51012-1814
Phone (712) 225-9003

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
41.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions271
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03566IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock County Health System CurrentSince Nov 23, 2018 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Christopher J Vandelune DO PC CurrentSince Jan 20, 2020 Accepting new patients

Locations

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

115 E Maple St
Cherokee, IA 51012
Phone (712) 225-9003

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDJBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accura Healthcare of Cherokee LLCCherokee, IA, CCN 165425 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Cherokee Care LLC

    dba Countryside Estates

    • Skilled Nursing Facility
    • Cherokee, IA
    • NPI 1336100585

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1871598557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAPLE ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121814",
            "telephone_number": "712-225-9003",
            "fax_number": "712-225-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAPLE ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121814",
            "telephone_number": "712-225-9003",
            "fax_number": "712-225-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDELUNE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438754",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

Verify at the official NPI Registry.