RODNEY KENT VAN ANDEL (M.D.) – General Practice Physician, NPI 1154326544

RODNEY KENT VAN ANDEL (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. L7909 (TX). The NPI Number for RODNEY KENT VAN ANDEL (M.D.) is 1154326544

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RODNEY KENT VAN ANDEL (M.D.)
NPI
1154326544
Phone
(903) 324-6450
Address
PO BOX 5500
Enumeration Date
14 June 2005
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3618528255
Graduation Year
1999 (27 years ago)
PAC ID
2567445802
Group Practice PAC ID
9739260019
Professional Enrollment ID
I20040609000412
Address ID
TX784114420CO4025XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for RODNEY KENT VAN ANDEL (M.D.)

  • PO BOX 5500

    TYLER, TX 757125500

    Phone: (903) 324-6450

    Fax: (903) 593-7569

    Type: Mailing

  • Lindale HealthPark, 3203, South Main Street, Thedford, Lindale, Smith County, Texas, 75771, United States

    LINDALE, TX 757717727

    Phone: (903) 266-4000

    Fax: (903) 882-7751

    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: 2004-06-09

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
I20040609000412IFamily PracticeTXTBD

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 75712)

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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: 9739260019View full group profile

Reviews

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Frequently asked questions

How is RODNEY KENT VAN ANDEL (M.D.) identified in CMS data?
CMS-hosted NPPES data lists RODNEY KENT VAN ANDEL (M.D.) with NPI 1154326544.
Does the file indicate RODNEY KENT VAN ANDEL (M.D.) is practicing under active NPI?
Directory data currently reports RODNEY KENT VAN ANDEL (M.D.) as active.
What is RODNEY KENT VAN ANDEL (M.D.)'s primary classification?
General Practice Physician is the headline specialty for RODNEY KENT VAN ANDEL (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is RODNEY KENT VAN ANDEL (M.D.) based?
RODNEY KENT VAN ANDEL (M.D.) is tied to Tyler, Texas in the data we show; additional addresses may exist on the full record.
Is the information about RODNEY KENT VAN ANDEL (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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