DR. GUSTAF MARSHALL VAN ACKER M.D. PH.D. NPI 1053774547

NPI Information

  • NPI: 1053774547
  • Provider Name: DR. GUSTAF MARSHALL VAN ACKER, M.D., PH.D.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 METROHEALTH DR
    CLEVELAND, OH
    ZIP 44109
  • Phone: (216) 778-7800

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NPI Details

DR. Gustaf Marshall Van Acker, M.D., PH.D. is a student in an organized health care education training program in Cleveland, OH with 15 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Gustaf Marshall Van Acker, M.D., PH.D. NPI is 1053774547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2011

The provider's business location address is:

2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109-900
Phone: (216) 778-7800

The NPI 1053774547 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)

The enumeration date for this NPI number is 4/1/2016 and was last updated on 12/27/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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