IndividualActive
Kenneth Vandervelde, MD
NPI 1417925702 · Surgery Physician · Portage, MI
Kenneth Vandervelde, MD is a Surgery Physician provider in Portage, MI (NPI 1417925702).
Provider details
- NPI number
- 1417925702
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- KV029466 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7775 Angling Rd
Portage, MI 49024
Phone: (269) 321-9970
Fax: (269) 321-9972
Street-level locationGet directions
Mailing address
7775 Angling Rd
Portage, MI 49024
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Vandervelde's NPI number?
- Kenneth Vandervelde's National Provider Identifier (NPI) is 1417925702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Vandervelde's specialty?
- Kenneth Vandervelde is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Vandervelde located?
- Kenneth Vandervelde's practice location on file with NPPES is 7775 Angling Rd, Portage, MI 49024.
- What is Kenneth Vandervelde's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Vandervelde is (269) 321-9970.
- Is Kenneth Vandervelde's NPI active?
- Yes — Kenneth Vandervelde's NPI (1417925702) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.