DR. JOHN ANANDA VANAALST (MD) – Family Medicine Physician, NPI 1417043852

DR. JOHN ANANDA VANAALST (MD) is a healthcare provider. based in Maumee, Ohio. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, PERIPHERAL VASCULAR DISEASE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.069810 (OH). The NPI Number for DR. JOHN ANANDA VANAALST (MD) is 1417043852

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ANANDA VANAALST (MD)
NPI
1417043852
Phone
(954) 399-4673
Address
1715 Indian Wood Cir Ste 200
Enumeration Date
5 October 2006
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9543994673
Graduation Year
1993 (33 years ago)
PAC ID
7517939184
Group Practice PAC ID
6406039882
Professional Enrollment ID
I20141122000300
Address ID
OH435374055MA1715XCIRC400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH

Provider Addresses for DR. JOHN ANANDA VANAALST (MD)

  • 1715 Indian Wood Cir Ste 200

    Maumee, OH 435374055

    Phone: (954) 399-4673

    Type: Location

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    MLC 2020

    CINCINNATI, OH 452293026

    Phone: (513) 636-7181

    Fax: (513) 636-7182

    Type: Mailing

  • 12667 GREEN RD

    WALTON, KY 410948731

    Phone: (919) 818-3377

    Type: Mailing

  • 10200 FOREST GREEN BLVD STE 112

    LOUISVILLE, KY 402235167

    Phone: (954) 399-4673

    Fax: (513) 636-7182

    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: 2019-05-06

PECOS data refreshed: 2026-05-27

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
I20141122000300IPlastic And Reconstructive SurgeryOHTBD
I20190506002269IFamily PracticeKYTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,270755$0
11042Removal of skin and tissue, 20.0 sq cm or less2,190512$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,667518$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less938217$0
17250Application of chemical to stop tissue regrowth in wound574131$0
View full utilization report →

Insurance plans in this area (ZIP 43537)

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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: 6406039882View full group profile
NameSpecialtyState
-WV
Family PracticeDE
Internal MedicineNY
General PracticeFL
Nurse PractitionerPA
General SurgeryAL
General PracticeNY
General PracticeOH
Nurse PractitionerKY
Family Practice, Peripheral Vascular DiseaseOH

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN ANANDA VANAALST (MD)?
The registry entry for DR. JOHN ANANDA VANAALST (MD) shows NPI 1417043852.
Should I treat DR. JOHN ANANDA VANAALST (MD) as an active provider?
Patients and plans typically see DR. JOHN ANANDA VANAALST (MD) as active in the national extract.
How should patients interpret DR. JOHN ANANDA VANAALST (MD)'s specialty?
The extract shows Family Medicine Physician for DR. JOHN ANANDA VANAALST (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOHN ANANDA VANAALST (MD) in Maumee, Ohio?
For routing, start with Maumee, Ohio for DR. JOHN ANANDA VANAALST (MD), then verify phone and hours locally.
Why is information missing for DR. JOHN ANANDA VANAALST (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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