DR. ANDRE' VAN MOL (MD) – Family Medicine Physician, NPI 1083603203

DR. ANDRE' VAN MOL (MD) is a healthcare provider. based in Rancho cordova, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G62379 (CA). The NPI Number for DR. ANDRE' VAN MOL (MD) is 1083603203

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDRE' VAN MOL (MD)
NPI
1083603203
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
20 October 2005
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302433339
Graduation Year
1986 (40 years ago)
PAC ID
2961404033
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20070202000495
Address ID
CA960011721RE1755XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

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Provider Addresses for DR. ANDRE' VAN MOL (MD)

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    ATTN: CREDENTIALING/PAYER ENROLLMENT

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 1755, Court Street, Redding, Shasta County, California, 96001, United States

    REDDING, CA 960011721

    Phone: (530) 247-8800

    Fax: (530) 241-1174

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Exact Sciences Corporation ($14).

Total Amount

$27

General + Research + Ownership

Payments

2

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070202000495IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes692370$0
99214Established patient office or other outpatient visit, 30-39 minutes630444$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit169169$0
G0008Administration of influenza virus vaccine8988$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage8786$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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Provider's Procedures

DR. ANDRE' VAN MOL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA17003Destruction of 2-14 skin growths6816
FAMILY MEDICINECA90670Pneumococcal vaccine for injection into muscle6161

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800661View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. ANDRE' VAN MOL (MD) in the U.S.?
In the U.S., DR. ANDRE' VAN MOL (MD) is identified by NPI 1083603203.
Should I treat DR. ANDRE' VAN MOL (MD) as an active provider?
Patients and plans typically see DR. ANDRE' VAN MOL (MD) as active in the national extract.
What does the directory say DR. ANDRE' VAN MOL (MD) does?
Insurance directories may phrase it differently, but here DR. ANDRE' VAN MOL (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDRE' VAN MOL (MD)?
The directory associates DR. ANDRE' VAN MOL (MD) with Rancho Cordova, California. Check all listed addresses for suites or satellite offices.
Who maintains DR. ANDRE' VAN MOL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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