Individual provider Active NPI

James M Van Daalen, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jeffersonville, IN
National Provider Identifier
1972516094
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
10146343A Issued in IN
Practice address
207 Sparks Ave Ste 201
Jeffersonville, IN 47130-3739
Phone
(812) 280-1419
Fax
(812) 280-1451
NPI assigned
Aug 14, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01046343A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 10146343A IN Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 26040 KY

Addresses

Primary practice location

207 Sparks Ave Ste 201
Jeffersonville, IN 47130-3739

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 5

IdentifierTypeStateIssuer
1059597OtherKYPASSPORT
64260409MedicaidKY
01046343AOtherINSTATE LICENSE
26040OtherKYSTATE LICENSE
100388990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20100818000849 KY Practitioner - Thoracic SurgeryPractitioner - General Surgery 3678516002 Reassigns benefits to 1 organization
I20100819001005 IN Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3678516002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
University of Chicago, Pritzker School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2581

1373 E State Rd
Madison, IN 47250-7328

207 Sparks Ave
Jeffersonville, IN 47130-3739

630 Broadway St
Madison, IN 47250-3310

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10146343AINMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC CurrentSince Aug 1, 2015 Accepting new patients
Norton Clark Physician Practices, LLC Surgery CurrentSince Aug 1, 2015 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Community Medical Associates, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Community Medical Associates, Inc. Surgery Past Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

207 Sparks Ave
Ste 201
Jeffersonville, IN 47130
Phone (502) 629-5440

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • Direct secure messaging: jvandaalen38106@direct.nortonhealthcare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1972516094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE STE 201",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-280-1419",
            "fax_number": "812-280-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAALEN",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01046343A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "10146343A",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "26040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1059597",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64260409",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01046343A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26040",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.