DR. RICHARD DAVID VAN WOERKOM M.D.
NPI 1265515738
Pediatrics - Neonatal-Perinatal Medicine in Santa Clara, CA

Q: What is Richard Van Woerkom's NPI number?

The NPI number for Richard Van Woerkom is 1265515738. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Richard Van Woerkom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since October 20, 2006PECOS Enrolled

900 KIELY BLVD, 3RD FLOOR, PEDIATRICS/NEONATOLOGY, SANTA CLARA, CA 95051(408) 236-5048 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Richard David Van Woerkom M.d. NPPES

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

DR. RICHARD DAVID VAN WOERKOM M.D. (NPI 1265515738) is an individual neonatal-perinatal medicine provider in Santa Clara, California, licensed in California (A69482) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265515738

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. RICHARD DAVID VAN WOERKOMCredential: M.D.

Location Address900 KIELY BLVD, 3RD FLOOR, PEDIATRICS/NEONATOLOGYSanta Clara, CA 95051-5329

Mailing Address700 Lawrence ExpySanta Clara, CA 95051-5173 · (408) 236-5048

Phone(408) 236-5048

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateDecember 13, 2021

NPPES CertifiedDecember 13, 2021

✔ NPI 1265515738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A69482

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

900 KIELY BLVD, Santa Clara, CA 95051

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard David Van Woerkom M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Van Woerkom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1.1 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. MARY JULIE DIGERONIMO OTR

Occupational Therapist