Individual provider Active NPI

Gregory R Van Den Berghe, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Overland Park, KS
National Provider Identifier
1922090794
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
04-28403 Issued in KS
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

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040802001226 MO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4880665132 Reassigns benefits to 1 organization
I20060912000455 KS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4880665132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Diveley Midwest Orthopaedic Clinic LLCGroup PAC ID 1153225479, 66 clinicians

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 Hospital, Leawood, KS, CCN 170188
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Jul 1, 2021 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.