Katrina Vanderveen, MD
Katrina Vanderveen, MD is a Diagnostic Radiology Physician in Mishawaka, IN, registered under NPI 1194710541. This provider registers 8 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 620 W EDISON RD SUITE 110, Mishawaka, IN 46545. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01058810 | IN | Diagnostic Radiology Physician primary |
| 01058810 | IN | Body Imaging Physician |
| 01058810 | IN | Neuroradiology Physician |
| 01058810 | IN | Nuclear Radiology Physician |
| 01058810 | IN | Pediatric Radiology Physician |
| 01058810 | IN | Therapeutic Radiology Physician |
| 01058810 | IN | Vascular & Interventional Radiology… |
| 01058810 | IN | Diagnostic Ultrasound Physician |
This provider holds licence 01058810 issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 8325026297
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Michigan | I20040708000984 | Practitioner - Diagnostic Radiology |
| Indiana | I20040803001426 | Practitioner - Diagnostic Radiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. There are 2 separate enrolment records across 2 states (MI, IN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 01058810 | IN | primary |
| 2085B0100X | Body Imaging Physician Body Imaging | 01058810 | IN | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | 01058810 | IN | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | 01058810 | IN | |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | 01058810 | IN | |
| 2085R0203X | Therapeutic Radiology Physician Therapeutic Radiology | 01058810 | IN | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 01058810 | IN | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | 01058810 | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1194710541 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 13, 2005 |
| Last updated | May 16, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
620 W EDISON RD SUITE 110 Mishawaka, IN 46545 (574) 258-1100 Fax (574) 258-1101 |
| Other identifiers |
200473380
· Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 7 | 1 | 0 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 5 | 1 | 0 | 5 | 8 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.