DR. JON A VANDERHOOF (MD) – Pediatric Gastroenterology Physician, NPI 1396797635

DR. JON A VANDERHOOF (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in GASTROENTEROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 12484 (NE). The NPI Number for DR. JON A VANDERHOOF (MD) is 1396797635

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON A VANDERHOOF (MD)
NPI
1396797635
Phone
(402) 280-8100
Address
555 N 30TH ST
Enumeration Date
16 May 2006
Last Update Date
19 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7122565272
Graduation Year
1972 (54 years ago)
PAC ID
2961492020
Group Practice PAC ID
9638165400
Professional Enrollment ID
I20140903000807
Address ID
IA515031002CO320XXAVEX302
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

103 GASTROENTEROLOGY in NE

Provider Addresses for DR. JON A VANDERHOOF (MD)

  • Boys Town National Research Hospital, 555, North 30th Street, Omaha, Douglas County, Nebraska, 68131, United States

    OMAHA, NE 681312136

    Phone: (402) 280-8100

    Fax: (402) 280-8103

    Type: Mailing

  • 14080 BOYSTOWN HOSPITAL RD

    BOYS TOWN, NE 680107513

    Phone: (402) 778-6900

    Fax: (402) 778-6917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GENZYME CORPORATION ($176).

Total Amount

$280

General + Research + Ownership

Payments

9

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2015-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040512001363IPediatric MedicineNETBD
I20140903000807IPediatric MedicineIATBD
I20150108001899IPediatric MedicineMATBD

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 68131)

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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: 9638165400View full group profile
NameSpecialtyState
Pediatric MedicineNE
-NE
-NE
Qualified AudiologistNE
Qualified Speech Language PathologistKS
-CA
Physical Therapist In Private PracticeNE
Qualified AudiologistNE
P S Y C H I A T R YNE
Qualified AudiologistNE

Reviews

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Frequently asked questions

How do payers reference DR. JON A VANDERHOOF (MD)?
For DR. JON A VANDERHOOF (MD), use NPI 1396797635 as the unique 10-digit identifier.
Is there an active status for DR. JON A VANDERHOOF (MD)?
For scheduling context, DR. JON A VANDERHOOF (MD) is shown as active in the registry.
What expertise is attributed to DR. JON A VANDERHOOF (MD)?
DR. JON A VANDERHOOF (MD)'s specialty line reads Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JON A VANDERHOOF (MD)?
Directory geography for DR. JON A VANDERHOOF (MD) centers on Omaha, Nebraska.
When was this NPI issued?
Enumeration for DR. JON A VANDERHOOF (MD) is noted as May 16, 2006 where the registry provides it.

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