MARY ELIZABETH VAN DER VELDE MD
NPI 1194732867
Pediatrics - Pediatric Cardiology in Ann Arbor, MI

Q: What is Mary Van Der Velde's NPI number?

The NPI number for Mary Van Der Velde is 1194732867. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Mary Van Der Velde's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since August 02, 2006PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 647-5299 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Elizabeth Van Der Velde Md NPPES

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

MARY ELIZABETH VAN DER VELDE MD (NPI 1194732867) is an individual pediatric cardiology provider in Ann Arbor, Michigan, licensed in Michigan (4301082862) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1194732867

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameMARY ELIZABETH VAN DER VELDECredential: MD

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 647-5299

Sole ProprietorNo

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 23, 2024

NPPES CertifiedJuly 23, 2024

✔ NPI 1194732867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MI · 4301082862

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 4301082862 (MI)

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Secondary Practice Location 1

Location 11500 East Medical Center Dr, 11th floor CS Mott Childrens Hospital Room 661Ann Arbor, MI 48109-5204 · Phone (734) 764-5176

Other Identifiers 1

Medicaid4560087MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Van Der Velde Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Mary Van Der Velde's NPI number?

The NPI number for Mary Van Der Velde is 1194732867. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Mary Van Der Velde located?

Mary Van Der Velde practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 647-5299.

What is Mary Van Der Velde's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mary Van Der Velde enrolled in Medicare?

Yes. Mary Van Der Velde is registered in the Medicare PECOS enrollment system.

What insurance does Mary Van Der Velde accept?

Health plans from McLaren Health Plan Community and Priority Health list Mary Van Der Velde 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 Mary Van Der Velde was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.