Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy J Vanderjagt, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1780876540

Mr. Timothy J Vanderjagt, MD is a Pathology in Santa Fe, New Mexico. Graduated from University of New Mexico School of Medicine in 2001, 25 years ago. Practices with Santa Fe Pathology Services PA, a 4-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
25
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone: (505) 820-5274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD2007-0397 (NM)

Record details

NPI number1780876540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESMay 9, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Santa Fe Pathology Services Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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