HENRY JOHN LEONARD VAN DYK MD
NPI 1093751125
Internal Medicine in Tuba City, AZ
About Henry John Leonard Van Dyk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY JOHN LEONARD VAN DYK MD (NPI 1093751125) is an individual internal medicine provider in Tuba City, Arizona, licensed in Washington (28767) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Henry John Leonard Van Dyk Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Henry Van Dyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tuba City, AZ 86045
- Reassigned Medicare billing, Texas enrollment
- 540 clinicians in this Medicare group
Polacca, AZ 86042
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUBA CITY, AZ 86045
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 Henry Van Dyk's NPI number?
The NPI number for Henry Van Dyk is 1093751125. It was assigned to this individual provider in the NPPES registry on June 20, 2006.
Where is Henry Van Dyk located?
Henry Van Dyk practices at 167 N Main St, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.
What is Henry Van Dyk's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Henry Van Dyk enrolled in Medicare?
Yes. Henry Van Dyk 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.
Which organizations bill Medicare for Henry Van Dyk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Van Dyk reassigns Medicare benefits to 2 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ) and Dhhs Ihs Phoenix Area (Polacca, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Van Dyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Henry Van Dyk accept?
Health plans from Blue Cross Blue Shield of Arizona list Henry Van Dyk 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.
When was this NPI record last updated?
The NPPES record for Henry Van Dyk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Henry John Leonard Van Dyk, MD · NPI 1093751125
Internal Medicine physician in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1093751125 (Entity type: Individual)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 28767 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 N MAIN ST, Tuba City, AZ 86045-0600
- **Phone:** (928) 283-2501 · **Fax:** (928) 283-2677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tuba City Regional Health Care Corporation (NPI 1548294424, Tuba City, AZ); Dhhs Ihs Phoenix Area (NPI 1356628028, Polacca, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H43412; Medicare ID-Type Unspecified 8EZ24N; Medicaid 529513 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1093751125) · Data from the CMS NPPES public registry.