DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) – Diagnostic Radiology Physician, NPI 1750505145

DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) is a healthcare provider. based in Walnut creek, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. A91415 (CA). The NPI Number for DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) is 1750505145

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN HENRY IV VANUDEN (M.D., PH.D.)
NPI
1750505145
Phone
(925) 296-7150
Address
2125 OAK GROVE RD
Enumeration Date
13 April 2007
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7076464646
Graduation Year
2003 (23 years ago)
PAC ID
2860563046
Group Practice PAC ID
4587556865
Professional Enrollment ID
I20080616000369
Address ID
CA946111952OA9062XTERX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,812 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. JOHN HENRY IV VANUDEN (M.D., PH.D.)

  • 2125 OAK GROVE RD

    SUITE 200

    WALNUT CREEK, CA 945982536

    Phone: (925) 296-7150

    Fax: (925) 296-7171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-10-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080616000369IDiagnostic RadiologyCATBD
I20191031002613IDiagnostic RadiologyHITBD

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
71045X-ray of chest, 1 view765681$0
77067Screening mammography400400$0
77063Screening 3d breast mammography397397$0
71046X-ray of chest, 2 views290284$0
70450Ct scan head or brain without contrast243234$0
View full utilization report →

Insurance plans in this area (ZIP 94598)

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Provider's Procedures

DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views6656
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views1716
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast165163
DIAGNOSTIC RADIOLOGYCA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies7575
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9593

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: 4587556865View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

How is DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) with NPI 1750505145.
Is DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) still practicing?
DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JOHN HENRY IV VANUDEN (M.D., PH.D.)?
For research purposes, treat DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) based?
DR. JOHN HENRY IV VANUDEN (M.D., PH.D.) is tied to Walnut Creek, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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