DANIEL T VANDENBOSCH (MD) – Family Medicine Physician, NPI 1588642367

DANIEL T VANDENBOSCH (MD) is a healthcare provider. based in Cedar rapids, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 29364 (IA). The NPI Number for DANIEL T VANDENBOSCH (MD) is 1588642367

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL T VANDENBOSCH (MD)
NPI
1588642367
Phone
(319) 396-1983
Address
2230 WILEY BLVD SW
Enumeration Date
3 January 2006
Last Update Date
21 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7127221700
Graduation Year
1992 (34 years ago)
PAC ID
3274668462
Group Practice PAC ID
3173696572
Professional Enrollment ID
I20100312000463
Address ID
IA512501870SI33XXXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DANIEL T VANDENBOSCH (MD)

  • Wiley Boulevard Southwest, Cedar Rapids, Linn County, Iowa, 52404, United States

    CEDAR RAPIDS, IA 524042364

    Phone: (319) 396-1983

    Fax: (319) 396-3183

    Type: Mailing

  • Saint Luke's Westside Urgent Care, 2375, Edgewood Road Southwest, Cedar Rapids, Linn County, Iowa, 52404, United States

    CEDAR RAPIDS, IA 524044736

    Phone: (319) 396-1983

    Fax: (319) 396-3183

    Type: Location

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: 2010-03-12

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
I20100312000463IFamily PracticeIATBD

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 minutes193127$0
99214Established patient office or other outpatient visit, 30-39 minutes12484$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes11738$0
G0008Administration of influenza virus vaccine5656$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage5050$0
View full utilization report →

Insurance plans in this area (ZIP 52404)

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Provider's Procedures

DANIEL T VANDENBOSCH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIA73562X-ray of knee, 3 views1111
FAMILY MEDICINEIA90670Pneumococcal vaccine for injection into muscle5656

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: 3173696572View full group profile

Reviews

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Frequently asked questions

Does DANIEL T VANDENBOSCH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL T VANDENBOSCH (MD) uses 1588642367.
Is DANIEL T VANDENBOSCH (MD) listed as active for patients and plans?
The listing shows DANIEL T VANDENBOSCH (MD) as active in the NPI system.
What is DANIEL T VANDENBOSCH (MD) best known for clinically?
Directory data describes DANIEL T VANDENBOSCH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DANIEL T VANDENBOSCH (MD)?
DANIEL T VANDENBOSCH (MD)'s geographic hint is Cedar Rapids, Iowa in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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