DR. IAN VANDERGULIK DPM
NPI 1033733852
Podiatrist - Foot & Ankle Surgery in San Antonio, TX

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
5282 MEDICAL DR STE 260, SAN ANTONIO, TX 78229(210) 970-7802 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Oct 9, 2023, Jun 8, 2020 (3 updates tracked since 2020).

About Dr. Ian Vandergulik Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IAN VANDERGULIK DPM (NPI 1033733852) is an individual foot & ankle surgery provider in San Antonio, Texas, licensed in Texas (692084) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in Kerrville.

NPPES Registry Identity

NPI1033733852
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. IAN VANDERGULIKCredential: DPM
Location Address5282 MEDICAL DR STE 260San Antonio, TX 78229-6039
Mailing Address5282 Medical Dr Ste 260San Antonio, TX 78229-6039 · (860) 770-5113
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2020
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1033733852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 692084
5282 MEDICAL DR STE 260, San Antonio, TX 78229

Secondary Practice Location 1

Location 1420 Water St Ste 107Kerrville, TX 78028-5200 · Phone (830) 282-8226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ian Vandergulik Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214383496
PECOS Enrollment IDI20231024002651
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of graft from small bone 20900
Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Vandergulik's NPI number?

The NPI number for Ian Vandergulik is 1033733852. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Ian Vandergulik located?

Ian Vandergulik practices at 5282 Medical Dr Ste 260, San Antonio, TX 78229. The listed phone number is (210) 970-7802.

What is Ian Vandergulik's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ian Vandergulik enrolled in Medicare?

Yes. Ian Vandergulik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ian Vandergulik accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ian Vandergulik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ian Vandergulik affiliated with any hospitals?

According to CMS data, Ian Vandergulik is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ian Vandergulik was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.