Active NPI
Scott Leslie Vandevorde, DPM
- Podiatrist
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SV001569
- Practice address
- 8957 Ottogan St
Holland, MI 49423-9044 - Phone
- (616) 748-9025
- Fax
- (616) 748-9124
- NPI assigned
- Oct 19, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SV001569 | MI | Primary |
| Podiatrist | 213E00000X | 5901001567 | MI |
Addresses
Primary practice location
8957 Ottogan St
Holland, MI 49423-9044
Mailing address
430 E 8TH St
PMB 182
Holland, MI 49423-3751
Phone (616) 748-9025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4857059590 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Kirts Blvd
Suite 200
Troy, MI 48084-4899
2121 Raybrook St SE
Raybrook Manor Hfa
Grand Rapids, MI 49546-5793
Phone (616) 235-5469
2161 Leonard St NW
St Anns Home Al
Grand Rapids, MI 49504-3829
Phone (616) 453-7715
2567 W Grand Blvd
Boulevard Temple
Detroit, MI 48208-1235
Phone (313) 895-5340
400 Jeffery St
Cedar Springs, MI 49319-9572
Phone (616) 829-9702
7051 Madison Ave SE
Pine Rest Christian
Grand Rapids, MI 49548-7707
Phone (616) 281-6363
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.82 of 100
- Quality
- 61.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2088 |
| Removal or shaving of skin growth | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001567 | MI | MD | Podiatrist |
| SV001569 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsight, Inc. | Current | Accepting new patients | |
| Onsight, Inc. | Podiatrist | Current | Accepting new patients |
| Giaimo Mobile Podiatry of WV PLLC | Podiatrist | Past | Accepting new patients |
| Age Management of West Michigan PC | Past | Accepting new patients | |
| Ahsl Holland Operations, LLC | Past | Accepting new patients |
Locations
2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990
601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166
1450 Fulton St E
Grand Rapids, MI 49503
Phone (616) 643-2600
2121 Raybrook St SE
Grand Rapids, MI 49546
Phone (616) 235-5002
1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031
100 W Big Beaver Rd
Ste 655
Troy, MI 48084
Phone (248) 528-1857
Interoperability endpoints
- scott.vandevorde.p16@direct.360care.nextgenshare.com
Organizations & group practices 5
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.
-
- Podiatrist
- East Lansing, MI
- NPI 1821248568
-
- Dentist
- East Lansing, MI
- NPI 1730339474
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1558700625
-
- Assisted Living Facility
- Holland, MI
- NPI 1770987349
-
- Podiatrist
- Charleston, WV
- NPI 1386183473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992794200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E 8TH ST",
"address_2": "PMB 182",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233751",
"telephone_number": "616-748-9025",
"fax_number": "616-748-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8957 OTTOGAN ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494239044",
"telephone_number": "616-748-9025",
"fax_number": "616-748-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEVORDE",
"first_name": "SCOTT",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "SV001569",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001567",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4857059590",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.