WESLEY BLAKE VANDERLAN MD NPI 1609097898

NPI Information

  • NPI: 1609097898
  • Provider Name: WESLEY BLAKE VANDERLAN, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2799 W GRAND BLVD
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 916-2600

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NPI Details

Wesley Blake Vanderlan, MD is a surgery in Detroit, MI with 33 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Wesley Blake Vanderlan, MD NPI is 1609097898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1993

The provider's business location address is:

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-2600

The NPI 1609097898 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.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 5/2/2007 and was last updated on 2/10/2025.

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
1207PE0004XEmergency MedicineEmergency Medical Services14789MISSISSIPPINo
2208600000XSurgery14789MISSISSIPPINo
3208600000XSurgery20800NORTH DAKOTANo
42086S0102XSurgerySurgical Critical Care1930GEORGIANo
52086S0102XSurgerySurgical Critical CareME115495FLORIDANo
62086S0102XSurgerySurgical Critical CareMC-2691IDAHONo
72086S0102XSurgerySurgical Critical Care14789MISSISSIPPINo
82086S0127XSurgeryTrauma Surgery14789MISSISSIPPINo
9208600000XSurgery4301086703MICHIGANYes

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
100117675MEDICAIDMISSISSIPPI

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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