ANDREA E. VAN PELT M.D. – NPI #1285756148
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

ANDREA VAN PELT is a surgeon located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1285756148 to ANDREA VAN PELT on April 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 13 years ago on Mar 06, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREA VAN PELT below.

NPI Profile for
ANDREA E. VAN PELT

NPI Number
1285756148
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA E. VAN PELT
Credentials
M.D.
Primary location
4070 LAKE DRIVE SE
SUITE 202
GRAND RAPIDS, MI 49546
Phone: (616) 464-4420 Fax: (616) 464-4354
Mailing address
4070 LAKE DRIVE SE SUITE 202
CENTER FOR BREAST & BODY CONTOURING
GRAND RAPIDS, MI 49546
Phone: (616) 464-4420 Fax: (646) 464-4354
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
MI 4301095522

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.