FREDERIC J VAN DIS MD
NPI 1093786261
Internal Medicine - Cardiovascular Disease in Roseburg, OR

Q: What is Frederic Van Dis's NPI number?

The NPI number for Frederic Van Dis is 1093786261. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Frederic Van Dis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Frederic Van Dis was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 27, 2006

80.74/100

CMS Quality Rating

2801 NW MERCY DR, STE. 300, ROSEBURG, OR 97471(541) 677-1555(541) 677-6543 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2020, Aug 17, 2018, Dec 28, 2017 (3 updates tracked since 2017).

On this page

About Frederic J Van Dis Md NPPES

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

FREDERIC J VAN DIS MD (NPI 1093786261) is an individual cardiovascular disease provider in Roseburg, Oregon, licensed in Oregon (MD12356) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1093786261

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameFREDERIC J VAN DISCredential: MD

Location Address2801 NW MERCY DR, STE. 300Roseburg, OR 97471

Mailing Address201 Nw Medical Loop Ste 190Roseburg, OR 97471-8835 · (541) 677-4319 · Fax (541) 677-2294

Phone(541) 677-1555

Fax(541) 677-6543

Sole ProprietorNo

Enumeration DateJanuary 27, 2006

Last NPPES UpdateMay 26, 20203 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1093786261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OR · MD12356

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2801 NW MERCY DR, Roseburg, OR 97471

Open in Google Maps ↗

Other Identifiers 3

Other060070869OR · Railroad Medicare

Medicaid114173OR

OtherMD12356OR · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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.

80.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.19

Promoting Interoperability

Improvement Activities

Cost

61.44

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRET R. HANSEN MD

Surgery

2801 NW MERCY DR, SUITE 330
ROSEBURG, OR 97471

Douglas County (541) 677-3600

DR. BRYAN MICHAEL MCVAY MD

Surgery

2801 NW MERCY DR, SUITE 330
ROSEBURG, OR 97471

Douglas County (541) 677-3600

GAYLENE LYDA RNFA

Registered Nurse (Medical-Surgical)

2801 NW MERCY DR, SUITE 330
ROSEBURG, OR 97471

Douglas County (541) 677-3600

MR. JEREMY JAMES WEDGE RN, CNOR, RNFA

Registered Nurse (Registered Nurse First Assistant)

2801 NW MERCY DR, SUITE 200
ROSEBURG, OR 97471

Douglas County (541) 677-2800

DR. CHRISTINE YAP VILLARDO M.D.

Hospitalist

2801 NW MERCY DR, SUITE 340
ROSEBURG, OR 97471

Douglas County (541) 677-2494

DR. HOWARD J FELDMAN MD

Internal Medicine (Interventional Cardiology)

2801 NW MERCY DR, STE. 300
ROSEBURG, OR 97471

Douglas County (541) 677-1555

CHRISTOPHER R SPENCE MD

Surgery

2801 NW MERCY DR, SUITE 330
ROSEBURG, OR 97471

Douglas County (541) 677-3600

DAVID GLASER MD

Internal Medicine (Gastroenterology)

2801 NW MERCY DR, SUITE 350
ROSEBURG, OR 97471

Douglas County (541) 677-4488

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 Frederic Van Dis's NPI number?

The NPI number for Frederic Van Dis is 1093786261. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Frederic Van Dis located?

Frederic Van Dis practices at 2801 NW Mercy Dr Ste. 300, Roseburg, OR 97471. The listed phone number is (541) 677-1555.

What is Frederic Van Dis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Frederic Van Dis accept?

Health plans from PacificSource Health Plans list Frederic Van Dis 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 Frederic Van Dis was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.