Dr. Kelly S Vandyke , MD
Internal Medicine • Fries, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kelly Vandyke has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kelly Vandyke, MD was a registered Internal Medicine practicing in Fries, VA. Throughout an active medical career spanning 17 years, Dr. Vandyke provided care at the practice location at 109 CARROLL DRIVE until profile deactivation on 2024-12-12.
Historical Medicare Part B clinical services included urinalysis, manual test, routine electrocardiogram (ecg) using at least 12 leads with tracing, insertion of needle into vein for collection of blood sample. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
109 Carroll Drive
Fries, VA 24330
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Fries, VA
Practicing in Fries, VA (3758 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
81002
Urinalysis, manual test
|
55 | 39 | $6.00 | $3.41 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 12, 2024
NPI status registered as active in NPPES database
Registered at 109 CARROLL DRIVE, FRIES, VA 24330 (Tel: 2767443660)
Registered at 109 CARROLL DRIVE, FRIES, VA 24330 (Tel: 2767443660)
Recorded as KELLY VANDYKE, MD
Internal Medicine (License #0101048616 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
109 Carroll Drive
Fries, VA 24330
Phone: 2767443660
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