Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kenneth M Vandervelde Jr., MD

Surgery Physician in Portage, MI · enumerated 2006 · practices at Ascension Medical Group Promed.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417925702

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Registry record

Entity type Individual (Type 1)

Name Kenneth M Vandervelde Jr.

Credential MD

Sex Male

Practice address 7775 Angling Rd, Portage, MI, 49024

Phone (269) 321-9970

Fax (269) 321-9972

Enumeration date Mar 10, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License KV029466 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1395346	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kenneth Vandervelde?

The National Provider Identifier (NPI) for Kenneth Vandervelde is 1417925702, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kenneth Vandervelde practice?

The practice location on file with NPPES is in Portage, MI. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Bridget Kenny Medical Physician Assistant · Portage, MI NPI 1952349862 Leslie Price Physician Assistant · Portage, MI NPI 1265441703 Ascension Medical Group Promed Internal Medicine Physician · Portage, MI NPI 1538299631 Ashley Stoehr Physician Assistant · Portage, MI NPI 1285076422 Zane Stampfly Physician Assistant · Portage, MI NPI 1316466345 Morgan Aleman Registered Dietitian · Portage, MI NPI 1326603424 Christina Kemple Nurse Practitioner · Portage, MI NPI 1144880881 Guadalupe Chavez Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portage, MI NPI 1912786609

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.