ELIZABETH VAN DYKE M.D.
NPI 1487190286
Pediatrics in Los Angeles, CA
About Elizabeth Van Dyke M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH VAN DYKE M.D. (NPI 1487190286) is an individual pediatrics provider in Los Angeles, California, licensed in California (A155898) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Van Dyke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Van Dyke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 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 90027 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Elizabeth Van Dyke's NPI number?
The NPI number for Elizabeth Van Dyke is 1487190286. It was assigned to this individual provider in the NPPES registry on January 17, 2017.
Where is Elizabeth Van Dyke located?
Elizabeth Van Dyke practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.
What is Elizabeth Van Dyke's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elizabeth Van Dyke enrolled in Medicare?
Yes. Elizabeth Van Dyke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Van Dyke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Van Dyke reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Elizabeth Van Dyke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Van Dyke was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Elizabeth Van Dyke, M.D. · NPI 1487190286
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 17, 2017.
## Identity
- **NPI:** 1487190286 (Entity type: Individual)
- **Enumerated:** January 17, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A155898 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 W SUNSET BLVD, Los Angeles, CA 90027-6062
- **Phone:** (323) 660-2450
## 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:** Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1487190286) · Data from the CMS NPPES public registry.