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THOMAS P VAN DEN DRIESSCHE M.D. NPI 1073507745


NPI Information

NPI: 1073507745
Provider Name: THOMAS P VAN DEN DRIESSCHE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: EXTENDED CARE SPECIALISTS, INC

PECOS Registration: Yes

Address:
3030 LAKE AVE
SUITE32
FORT WAYNE, IN
ZIP 46805
Phone: (260) 424-3134
Get Directions

Thomas P Van Den Driessche, M.D. is a family medicine in Fort Wayne, IN with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Thomas P Van Den Driessche, M.D. NPI is 1073507745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

3030 LAKE AVE
SUITE32
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 424-3134
Fax: (260) 424-3138

The NPI 1073507745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Hemoglobin A1C level (HCPCS:83036)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 9/8/2005 and was last updated on 11/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01028709AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D95420MEDICARE UPININDIANA
2142990MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.