ANDREW VAN
NPI 1205519006
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Andrew Van NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW VAN (NPI 1205519006) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT238086) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Van is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Andrew Van's NPI number?
The NPI number for Andrew Van is 1205519006. It was assigned to this individual provider in the NPPES registry on August 8, 2023.
Where is Andrew Van located?
Andrew Van practices at 901 Walnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-9425.
What is Andrew Van's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrew Van enrolled in Medicare?
Yes. Andrew Van is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andrew Van was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Andrew Van · NPI 1205519006
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 8, 2023.
## Identity
- **NPI:** 1205519006 (Entity type: Individual)
- **Enumerated:** August 8, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** MT238086 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 WALNUT ST, Philadelphia, PA 19107-5214
- **Phone:** (215) 955-9425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205519006) · Data from the CMS NPPES public registry.