David D Vanderkin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036109875 Issued in IL

Practice address

150 W High St
Morris, IL 60450-1463

Phone

(800) 379-8731

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians

Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041
• Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.16

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.84 of 100Reported as group

Quality

86.21

Promoting interoperability

100

Improvement activities

40

Cost

73.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Divine Savior Healthcare, Inc.

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894
  Medicare reassignment Care Compare group NPD
• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment NPD
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040
  Medicare reassignment NPD
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Critical Access Hospital
  • Antigo, WI
  • NPI 1639187412
  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352
  Medicare reassignment NPD
• Aspirus Eagle River Hospital, Inc.

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915
  NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Medford, WI
  • NPI 1427105923
  NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1679757751
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Medford Hospital & Clinics, Inc.

  • Rehabilitation Clinic/Center
  • Medford, WI
  • NPI 1104922814

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rehabilitation Hospital Unit
  • Prentice, WI
  • NPI 1154468205
  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Rib Lake, WI
  • NPI 1265502173

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Medford, WI
  • NPI 1427140649

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Prentice, WI
  • NPI 1710066584

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Athens, WI
  • NPI 1760912919

  Hospital

  Care Compare affiliation
• Divine Savior Healthcare, Inc.

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1962407197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39798 TREASURY CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606949700",
            "telephone_number": "800-379-8731",
            "fax_number": "614-541-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "800-379-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKIN",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036109875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109875",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Turner, CSA
• Unlocking Abilities Behavior and Learning, LLC
• Uropartners, LLC
• Jodi Lynn Valencia, LPN
• Brandon James Valentine, FNP-C
• Elizabeth Varnes, CADC
• Linda Sue Verchimak, FNP-BC
• David G Vermillion, M.D.
• Jammie Vickers, APN
• Peter P Vienne Jr., DO

• Diagnostic Radiology Physician in Morris, IL
• Providers in Morris, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.

Verify at the official NPI Registry.