DR. PHILIP VAN ARSDALE MD
NPI 1124645296
Military Health Care Provider in Joint Base Lewis Mcchord, WA

NPI Status: Active since July 06, 2020

Contact Information

MADIGAN HOSPITAL 9040 JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431
Phone: (253) 968-0770

Get Directions Reviews

  • Individual
  • Male
  • Military Health Care Provider
  • PECOS Enrolled

About PHILIP VAN ARSDALE

This page provides the complete NPI Profile along with additional information for Philip Van Arsdale, a provider established in Joint Base Lewis Mcchord, Washington with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1124645296 assigned on July 2020. The practitioner's primary taxonomy code is 171000000X with license number M15911 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1124645296
Provider Name
DR. PHILIP VAN ARSDALE MD
Gender
Male
Entity Type
Individual
Location Address
MADIGAN HOSPITAL 9040 JACKSON AVE JOINT BASE LEWIS MCCHORD, WA 98431
Location Phone
(253) 968-0770
Mailing Address
WBAMC 5005 N. PIEDRAS STREET, ATTN: GME/TRANSITION PROGRAM EL PASO, TX 79920
Mailing Phone
(915) 742-2597
Is Sole Proprietor?
No
Enumeration Date
07-06-2020
Last Update Date
03-29-2024
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Location Map

Secondary Locations

  • WBAMC 5005 N. Piedras Street, Attn: GME/Transition Program
    El Paso, TX 79920
    (915) 742-2597
  • 36065 Santa Fe Ave
    Fort Hood, TX 76544
    (254) 553-5333

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider

Taxonomy Code
171000000X
Type
Other Service Providers
License No.
M15911
License State
ID
Taxonomy Description
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

M-15911 (ID)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Philip Van Arsdale is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124645296
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214412410218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 2 + 4 + 1 + 0 + 2 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1124645296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124645296, enumerated in the NPI registry as an "individual" on July 06, 2020

The provider is located at Madigan Hospital 9040 Jackson Ave Joint Base Lewis Mcchord, Wa 98431 and the phone number is (253) 968-0770

The provider's speciality is Military Health Care Provider with taxonomy code 171000000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 06, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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