Active NPI
James M Van Daalen, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 10146343A
- 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, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059597 | Other | KY | PASSPORT |
| 64260409 | Medicaid | KY | |
| 01046343A | Other | IN | STATE LICENSE |
| 26040 | Other | KY | STATE LICENSE |
| 100388990 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- 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
- Thoracic Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10146343A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Clark Physician Practices, LLC | Current | Accepting new patients | |
| Norton Clark Physician Practices, LLC | Surgery | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
IN, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- Clarksville, IN
- NPI 1083098651
KY, Surgery
-
dba Norton Clark Physician Practices
- Urgent Care Clinic/Center
- Sellersburg, IN
- NPI 1063896637
-
- Orthopaedic Surgery of the Spine Physician
- Louisville, KY
- NPI 1437382074
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Health
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
Hospital
-
dba Kings Daughters Health
- Land Ambulance
- Madison, IN
- NPI 1891855045
Hospital
-
dba Kings Daughters Health
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
-
dba Norton Clark Hospital
- General Acute Care Hospital
- Jeffersonville, IN
- NPI 1134186315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.