DR. STEPHAN WICKY VAN DOYER MD NPI 1588655369

NPI Information

  • NPI: 1588655369
  • Provider Name: DR. STEPHAN WICKY VAN DOYER, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 LAKE AVE N
    WORCESTER, MA
    ZIP 01655
  • Phone: (508) 334-5774

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NPI Details

DR. Stephan Wicky Van Doyer, MD is a diagnostic radiology radiology in Worcester, MA with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Stephan Wicky Van Doyer, MD NPI is 1588655369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 LAKE AVE N
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-5774
Fax: (774) 441-8443

The NPI 1588655369 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.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS:50435)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS:50435)

The enumeration date for this NPI number is 11/2/2005 and was last updated on 6/1/2021.

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
12085R0202XRadiologyDiagnostic Radiology223840MASSACHUSETTSYes

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
12103923MEDICAIDMASSACHUSETTS
2213058OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3110040985AMEDICAIDMASSACHUSETTS
4J26427OTHERMASSACHUSETTSBCBS OF MA

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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