MR. ANDREW HENRY VAN BERGEN (MD) – Pediatric Cardiology Physician, NPI 1689655391

MR. ANDREW HENRY VAN BERGEN (MD) is a healthcare provider. based in Oak lawn, Illinois. specializing in Pediatric Cardiology Physician. They hold the professional credentials MD. They hold a License No. 036107433 (IL). The NPI Number for MR. ANDREW HENRY VAN BERGEN (MD) is 1689655391

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW HENRY VAN BERGEN (MD)
NPI
1689655391
Phone
(708) 684-5580
Address
4440 W 95TH ST
Enumeration Date
9 November 2005
Last Update Date
27 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
8474591160
Graduation Year
1998 (28 years ago)
PAC ID
8628096302
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20051110000972

Contacts

Secure Messaging
avanbergen206136@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. ANDREW HENRY VAN BERGEN (MD)

  • Advocate Children's Hospital, 4440, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532600

    Phone: (708) 684-5580

    Fax: (708) 684-4068

    Type: Location

  • 621 PLAINFIELD RD

    #105

    WILLOW BROOK, IL 605275343

    Phone: (630) 321-9811

    Fax: (630) 321-9813

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $704.

Total Amount is formed as General ($704) + Research ($0) + Ownership ($0) = $704.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Getinge USA Sales, LLC ($446).

Total Amount

$704

General + Research + Ownership

Payments

5

Total payment records

General Amount

$704

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2005-11-10

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
I20051110000972ICardiovascular Disease (Cardiology)ILTBD

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 60453)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

How do payers reference MR. ANDREW HENRY VAN BERGEN (MD)?
For MR. ANDREW HENRY VAN BERGEN (MD), use NPI 1689655391 as the unique 10-digit identifier.
Active or inactive — what applies to MR. ANDREW HENRY VAN BERGEN (MD)?
You should see MR. ANDREW HENRY VAN BERGEN (MD) as active in CMS-hosted NPPES data.
What area of care is associated with MR. ANDREW HENRY VAN BERGEN (MD)?
MR. ANDREW HENRY VAN BERGEN (MD)'s record emphasizes Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. ANDREW HENRY VAN BERGEN (MD)?
Travel planning: use Oak Lawn, Illinois as the reference point for MR. ANDREW HENRY VAN BERGEN (MD), then confirm.
Can I trust this NPI listing for MR. ANDREW HENRY VAN BERGEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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