NOAH VANDERHEI (PA-C) – Physician Assistant, NPI 1104602291

NOAH VANDERHEI (PA-C) is a healthcare provider. based in Geneva, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085009991 (IL). The NPI Number for NOAH VANDERHEI (PA-C) is 1104602291

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NOAH VANDERHEI (PA-C)
NPI
1104602291
Phone
(630) 938-4011
Address
2525 KANEVILLE RD
Enumeration Date
5 September 2023
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474681400
Graduation Year
2023 (3 years ago)
PAC ID
2466808290
Group Practice PAC ID
6507830387
Professional Enrollment ID
I20231030003251
Address ID
IL601342578GE2525XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for NOAH VANDERHEI (PA-C)

  • 2525 KANEVILLE RD

    GENEVA, IL 601342578

    Phone: (630) 938-4011

    Type: Mailing

  • 1500 SYCAMORE RD STE 1

    YORKVILLE, IL 605601906

    Phone: (630) 584-1400

    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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Vericel Corporation ($22).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2023-10-30

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
I20231030003251IPhysician AssistantILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60134)

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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: 6507830387View full group profile
NameSpecialtyState
-OH
Physician AssistantIL
Occupational Therapist In Private PracticeIL
Physician AssistantIL
Orthopedic Surgery, Hand SurgeryIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Orthopedic SurgeryIL
Orthopedic SurgeryIL
Sports Medicine, Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What identifier follows NOAH VANDERHEI (PA-C) across health systems?
The NPI 1104602291 uniquely identifies NOAH VANDERHEI (PA-C) in U.S. healthcare data.
Quick check: is NOAH VANDERHEI (PA-C) active?
Public NPPES data shows NOAH VANDERHEI (PA-C) with an active NPI status right now.
What type of care does NOAH VANDERHEI (PA-C) provide?
NOAH VANDERHEI (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to NOAH VANDERHEI (PA-C)?
The directory associates NOAH VANDERHEI (PA-C) with Geneva, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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