NPIMap

Individual provider Active NPI

Tyler Veldkamp

  • Foot & Ankle Surgery Podiatrist
  • Pewaukee, WI
National Provider Identifier
1902291818
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1131-25 Issued in WI
Practice address
2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Phone
(262) 542-3779
Fax
(262) 542-4428
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 1131-25 WI Primary

Addresses

Primary practice location

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591

Mailing address

944 Center Ave
PO Box 700255
Oostburg, WI 53070-1354
Phone (920) 889-1067

Other identifiers 1

IdentifierTypeStateIssuer
100080538MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tveldkamp203770@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180824001444 WI Practitioner - Podiatry 1254636426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of Wi LTDGroup PAC ID 3779500442, 7 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2835 N Grandview Blvd
Suite 300
Pewaukee, WI 53072-5591
Phone 26254237794

W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue150
Removal of skin lesions1-10
Removal of nail tissue787
Removal or shaving of skin growth188
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Foot and Ankle Associates of Wi LTD Foot & Ankle Surgery CurrentSince Jun 15, 2018 Accepting new patients

Locations

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S69W15636 Janesville Rd
Muskego, WI 53150
Phone (262) 513-7000

2835 N Grandview Blvd
Pewaukee, WI 53072
Phone (262) 395-4015

2835 N Grandview Blvd
Ste 300
Pewaukee, WI 53072
Phone (262) 542-3779

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

Interoperability endpoints

  • Direct secure messaging: tveldkamp203770@direct.myadvocateaurora.org
  • Direct secure messaging: tveldkamp86341@direct.phci.org

Organizations & group practices 3

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 5

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1902291818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CENTER AVE",
            "address_2": "PO BOX 700255",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701354",
            "telephone_number": "920-889-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 300",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725591",
            "telephone_number": "262-542-3779",
            "fax_number": "262-542-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDKAMP",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1131-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080538",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tveldkamp203770@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 Park Ave",
            "address_2": "Hennepin County Medical Center",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554151623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "701 Park Ave",
            "address_2": "Hennepin County Medical Center",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554151623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.