DR. THEODORE L VANDER VELDE MD NPI 1417967068

NPI Information

  • NPI: 1417967068
  • Provider Name: DR. THEODORE L VANDER VELDE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 510 S KINGSHIGHWAY BLVD
    DEPT RADIOLOGY
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-7200

Map and Directions

Get Directions

NPI Details

DR. Theodore L Vander Velde, MD is a diagnostic radiology radiology in Saint Louis, MO with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Theodore L Vander Velde, MD NPI is 1417967068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63110-016
Phone: (314) 362-7200
Fax: (314) 747-4189

The NPI 1417967068 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.

  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of entire middle and lower spine, minimum of 6 views (HCPCS:72084)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Deep biopsy of bone using needle or trocar (HCPCS:20225)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • X-ray of upper spine, 6 or more views (HCPCS:72052)
  • Biopsy of bone using needle or trocar (HCPCS:20220)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of entire middle and lower spine, 4-5 views (HCPCS:72083)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Needle biopsy of muscle (HCPCS:20206)
  • X-ray of hip, minimum of 4 views (HCPCS:73503)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of pelvis, minimum of 3 views (HCPCS:72190)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 8/8/2006 and was last updated on 4/25/2024.

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
12085R0202XRadiologyDiagnostic Radiology103886MISSOURIYes

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
1209834803MEDICAIDMISSOURI

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: 3/30/2025

NPI Synchronization or Removal

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.