Active NPI
Gregory R Van Den Berghe, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 04-28403
- Practice address
- 10777 Nall Ave Ste 300
Overland Park, KS 66211-1330 - Phone
- (913) 642-0200
- Fax
- (913) 563-6699
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2004010787 | MO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 04-28403 | KS | Primary |
Addresses
Primary practice location
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Mailing address
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone (913) 642-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- 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
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10777 Nall Ave
Suite 300
Overland Park, KS 66211-1330
Phone (913) 642-0200
17067 S Outer Rd
Suite 301
Belton, MO 64012-2155
Phone (913) 642-0200
Hospital & facility affiliations
- Kansas City Orthopaedic Institute
- St Joseph Medical Center
- Adventhealth Shawnee Mission
- Bates County Memorial Hospital
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Carondelet Orthopaedic Surgeons PA | Orthopaedic Surgery | Past | Accepting new patients |
Locations
10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259
3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958
7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600
17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259
201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (913) 319-7600
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (913) 319-7600
Interoperability endpoints
- gvandenberghe@kcoa.emadirect.md
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.
-
- Orthopaedic Surgery Physician
- Leawood, KS
- NPI 1669421509
MO
-
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
- NPI 1730946302
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1356374805
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leawood, KS
- NPI 1457364408
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
-
- General Acute Care Hospital
- Butler, MO
- NPI 1770536740
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1528463080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1922090794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10777 NALL AVE STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111330",
"telephone_number": "913-642-0200",
"fax_number": "913-563-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 NALL AVE STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111330",
"telephone_number": "913-642-0200",
"fax_number": "913-563-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DEN BERGHE",
"first_name": "GREGORY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MO",
"license": "2004010787",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "KS",
"license": "04-28403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.