PAUL L VAN DE VYVER MD
NPI 1477642098
Anesthesiology - Pediatric Anesthesiology in Fort Worth, TX

Active since October 12, 2006PECOS Enrolled
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4054(682) 885-7497 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 29, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Paul L Van De Vyver Md NPPES

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

PAUL L VAN DE VYVER MD (NPI 1477642098) is an individual pediatric anesthesiology provider in Fort Worth, Texas, licensed in Texas (H6674) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477642098
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NamePAUL L VAN DE VYVERCredential: MD
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(682) 885-7497
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1477642098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in TX · H6674
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License H6674 (TX)
801 7TH AVE, Fort Worth, TX 76104

Accepted 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)

Paul L Van De Vyver 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104

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 Paul Van De Vyver's NPI number?

The NPI number for Paul Van De Vyver is 1477642098. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Paul Van De Vyver located?

Paul Van De Vyver practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4054.

What is Paul Van De Vyver's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Paul Van De Vyver enrolled in Medicare?

Yes. Paul Van De Vyver is registered in the Medicare PECOS enrollment system.

What insurance does Paul Van De Vyver accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Paul Van De Vyver 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 Paul Van De Vyver was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.