NATHAN TUCKER VANDERVEEN MD
NPI 1669008645
Internal Medicine in Los Angeles, CA

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 420, LOS ANGELES, CA 90095(310) 206-6232 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Mar 21, 2020 (2 updates tracked since 2020).

About Nathan Tucker Vanderveen Md NPPES

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

NATHAN TUCKER VANDERVEEN MD (NPI 1669008645) is an individual internal medicine provider in Los Angeles, California, licensed in California (A180194) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Western Michigan Un Homer Stryker School Of Med (2020).

NPPES Registry Identity

NPI1669008645
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNATHAN TUCKER VANDERVEENCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 420Los Angeles, CA 90095-7419
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorYes
Medical School CMSWestern Michigan Un Homer Stryker School Of MedGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1669008645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A180194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 UCLA MEDICAL PLZ STE 420, Los Angeles, CA 90095

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

Nathan Tucker Vanderveen 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 ID5698168961
PECOS Enrollment IDI20240607002380
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

2

Medicare enrollment records show Nathan Vanderveen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 147 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 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Physical Medicine & Rehabilitation
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Family Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095

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 Nathan Vanderveen's NPI number?

The NPI number for Nathan Vanderveen is 1669008645. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Nathan Vanderveen located?

Nathan Vanderveen practices at 200 Ucla Medical Plz Ste 420, Los Angeles, CA 90095. The listed phone number is (310) 206-6232.

What is Nathan Vanderveen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Vanderveen enrolled in Medicare?

Yes. Nathan Vanderveen 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 Nathan Vanderveen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Vanderveen reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Los Angeles, CA) and Venice Family Clinic (Santa Monica, CA). 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 Nathan Vanderveen'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 Nathan Vanderveen was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.