JOSHUA VANDERWALL (MD) – Emergency Medicine Physician, NPI 1184079915

JOSHUA VANDERWALL (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301502346 (MI). The NPI Number for JOSHUA VANDERWALL (MD) is 1184079915

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA VANDERWALL (MD)
NPI
1184079915
Phone
(918) 710-4200
Address
7501 Riverside Pkwy
Enumeration Date
29 April 2016
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2696856811
Graduation Year
2016 (10 years ago)
PAC ID
9234495532
Group Practice PAC ID
9931635430
Professional Enrollment ID
I20200929003455
Address ID
MI490801222PL411XXSTXX300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

747 EMERGENCY MEDICINE in OK

Provider Addresses for JOSHUA VANDERWALL (MD)

  • 7501 Riverside Pkwy

    Tulsa, OK 741365056

    Phone: (918) 710-4200

    Fax: (918) 403-6331

    Type: Location

  • Riverside Parkway, Kensington, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741365056

    Phone: (918) 710-4200

    Fax: (918) 403-6331

    Type: Mailing

  • 601 JOHN STREET

    BOX 39

    KALAMAZOO, MI 49007

    Phone:

    Type: Mailing

  • 8906 M 89

    RICHLAND, MI 490839540

    Phone: (269) 286-7130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-01-16 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($102).

Total Amount

$203

General + Research + Ownership

Payments

6

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-16

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: 2020-09-29

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
I20171101003184IFamily PracticeOKTBD
I20190909000485IEmergency MedicineALTBD
I20200929003455IEmergency MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes230113$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
99213Established patient office or other outpatient visit, 20-29 minutes4131$0
99285Emergency department visit with high level of medical decision making4139$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2825$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 9931635430View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineKY
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineWI
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineIL

Reviews

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Frequently asked questions

Does JOSHUA VANDERWALL (MD) have a public NPI I can cite?
Public records show JOSHUA VANDERWALL (MD) under NPI 1184079915.
Is JOSHUA VANDERWALL (MD)'s NPI status active today?
Active status means JOSHUA VANDERWALL (MD)'s NPI record is not deactivated in the public file.
What type of care does JOSHUA VANDERWALL (MD) provide?
JOSHUA VANDERWALL (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JOSHUA VANDERWALL (MD) tied to Tulsa, Oklahoma?
If you are local to Tulsa, Oklahoma, JOSHUA VANDERWALL (MD) may be relevant to your search.
Who maintains JOSHUA VANDERWALL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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