TAYLOR LYNN VAN DAM MD
NPI 1386104149
Pediatrics in Edmond, OK
About Taylor Lynn Van Dam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR LYNN VAN DAM MD (NPI 1386104149) is an individual pediatrics provider in Edmond, Oklahoma, licensed in Oklahoma (39313) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Lynn Van Dam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taylor Van Dam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDMOND, OK 73013
EDMOND, OK 73013
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 Taylor Van Dam's NPI number?
The NPI number for Taylor Van Dam is 1386104149. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Taylor Van Dam located?
Taylor Van Dam practices at 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013. The listed phone number is (405) 757-3742.
What is Taylor Van Dam's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Taylor Van Dam enrolled in Medicare?
Yes. Taylor Van Dam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taylor Van Dam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Van Dam reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (Oklahoma City, OK). The 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 Taylor Van Dam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taylor Van Dam accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Taylor Van Dam 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 Taylor Van Dam was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Taylor Lynn Van Dam, MD · NPI 1386104149
Pediatrics physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1386104149 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 39313 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2017 W I 35 FRONTAGE RD STE 170, Edmond, OK 73013-8558
- **Phone:** (405) 757-3742 · **Fax:** (405) 757-3744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386104149) · Data from the CMS NPPES public registry.