DR. JESSE L VANLE M.D. NPI 1366435224

NPI Information

  • NPI: 1366435224
  • Provider Name: DR. JESSE L VANLE, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1505 EASTLAND DR
    SUITE 210
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 662-5506

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NPI Details

DR. Jesse L Vanle, M.D. is a thoracic surgery cardiothoracic vascular surgery in Bloomington, IL with 32 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Jesse L Vanle, M.D. NPI is 1366435224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1505 EASTLAND DR
SUITE 210
BLOOMINGTON, IL
ZIP 61701-906
Phone: (309) 662-5506
Fax: (309) 662-5443

The NPI 1366435224 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, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Insertion of stent in groin artery, initial vessel (HCPCS:37221)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist (HCPCS:34705)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/25/2005 and was last updated on 11/1/2012.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036109293ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036109293001OTHEROSF HEALTH PLANS
237972OTHERTRICARE
3IL0106OTHERJOHN DEERE HEALTH PLAN
405732036OTHERILLINOISBLUE SHIELD GROUP NUMBER
5566399OTHERHEALTHLINK
6276560OTHERPERSONAL CARE
7L98313MEDICARE PINILLINOIS
82299329OTHERUNITED HEALTHCARE
937875OTHERPHCS
10084529OTHERILLINOISHEALTH ALLIANCE PROVIDER
11204597405MEDICAIDMISSOURI
12P00007635MEDICARE PIN
13036109293MEDICAIDILLINOIS
14H82765MEDICARE UPIN

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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