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JON VANDERVLIET MD
NPI 1366603318
Anesthesiology in Ann Arbor, MI

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105(734) 786-2317(734) 786-4977 Get Directions Write a Review

NPPES record last updated: May 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon Vandervliet Md NPPES

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

JON VANDERVLIET MD (NPI 1366603318) is an individual anesthesiology provider in Ann Arbor, Michigan, licensed in Michigan (4301092851) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and is a graduate of Michigan State University College Of Human Medicine (2008).

NPPES Registry Identity

NPI1366603318
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJON VANDERVLIETCredential: MD
Location Address2006 HOGBACK RD, SUITE 5AAnn Arbor, MI 48105-9750
Mailing Address2006 Hogback Rd, Suite 5aAnn Arbor, MI 48105-9750 · (734) 786-2317 · Fax (734) 786-4977
Phone(734) 786-2317
Fax(734) 786-4977
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2008
Enumeration DateJune 23, 2008
Last NPPES UpdateMay 6, 2013
✔ NPI 1366603318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MI · 4301092851
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2006 HOGBACK RD, Ann Arbor, MI 48105
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Other Identifiers 3

Other4301092851MI · Michigan License
OtherH17604112MI · Medicare Ptan
Medicaid1366603318MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Jon Vandervliet 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.

PECOS PAC ID8729244231
PECOS Enrollment IDI20120727000801
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 Reassignments

3

Medicare enrollment records show Jon Vandervliet reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Digestive Care LLC
1.5 mi
Ambulatory Surgical
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1164528527 (734) 434-6262
Huron Gastroenterology Associates PC
1.5 mi
Gastroenterology
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1144335639 (734) 434-6262
Anesthesia Associates Of Ann Arbor, PLLC
16 mi
Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
NPI 1669581997 (313) 293-7777

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 9

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
62 services62 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
24 services24 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services22 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
23 services23 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
22 services22 patients
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter 64448
This procedure involves the slow, steady delivery of a medication into your thigh nerve. An anesthetic agent or steroid is used to manage pain or inflammation. It's a safe, effective way to deliver medication directly to the area that needs it.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Chelsea Hospital

Acute Care Hospitals · Chelsea, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230259
Location775 S Main StChelsea, MI 48118 · Washtenaw County
Emergency services

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.

MARC TUCHMAN M.D.
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Washtenaw County (734) 786-4940
STEVEN SLACK M.D.
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Washtenaw County (734) 786-4940
PAMELA V. SOHONI M.D.
Psychiatry & Neurology (Psychiatry)
2006 HOGBACK RD, SUITE 1
ANN ARBOR, MI 48105
Washtenaw County (734) 786-2315
ST MARY MERCY HOSPITAL PROFESSIONAL
Community/Behavioral Health
2006 HOGBACK RD, SUITE 1
ANN ARBOR, MI 48105
Washtenaw County (734) 786-2300
JOHN RIVARD M.D.
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Washtenaw County (734) 786-4940
DR. DOUGLAS JOSEPH HOYE M.D.
Anesthesiology
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 786-2317
JOEL KILENY MD
Anesthesiology
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 786-2317
MELISSA BALOGH WAIDLEY M.A., L.L.P.
Psychologist
2006 HOGBACK RD
ANN ARBOR, MI 48105
Washtenaw County (734) 786-2300

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 Jon Vandervliet's NPI number?

The NPI number for Jon Vandervliet is 1366603318. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Jon Vandervliet located?

Jon Vandervliet practices at 2006 Hogback Rd Suite 5A, Ann Arbor, MI 48105. The listed phone number is (734) 786-2317.

What is Jon Vandervliet's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jon Vandervliet enrolled in Medicare?

Yes. Jon Vandervliet 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 Jon Vandervliet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Vandervliet reassigns Medicare benefits to 3 organizations: Center For Digestive Care LLC (Ypsilanti, MI), Huron Gastroenterology Associates PC (Ypsilanti, MI) and Anesthesia Associates Of Ann Arbor, PLLC (Westland, MI). 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 Jon Vandervliet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Vandervliet accept?

Health plans from Priority Health list Jon Vandervliet 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.

Is Jon Vandervliet affiliated with any hospitals?

According to CMS data, Jon Vandervliet is affiliated with Saint Joseph Mercy Livingston Hospital, Trinity Health Ann Arbor Hospital and Chelsea Hospital.

When was this NPI record last updated?

The NPPES record for Jon Vandervliet was last updated on May 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.