Individual provider Active NPI

Jonathan Patrick Angel, M.D.

  • Family Medicine Physician
  • Cleburne, TX
National Provider Identifier
1013448117
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9710 Issued in TX
Practice address
2010 W Katherine P Raines Rd Ste 500
Cleburne, TX 76033-7464
Phone
(817) 761-0063
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9710 TX Primary

Addresses

Primary practice location

2010 W Katherine P Raines Rd Ste 500
Cleburne, TX 76033-7464

Mailing address

4002 Double Tree TRL
Irving, TX 75061-3936
Phone (214) 206-7511

Other identifiers 1

IdentifierTypeStateIssuer
425277701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513001637 TX Practitioner - Family Practice 7618386103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Healthcare Foundation Texas, Inc.Group PAC ID 5991940520, 19 clinicians

Practice addresses (Care Compare)

400 N Beach St
Suite 104
Ft Worth, TX 76111-7070
Phone (817) 831-1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9710TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Texas Inc CurrentSince Sep 19, 2022 Accepting new patients
AIDS Healthcare Foundation Texas Inc PastSince Sep 19, 2022 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1013448117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 DOUBLE TREE TRL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750613936",
            "telephone_number": "214-206-7511",
            "fax_number": "817-803-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W KATHERINE P RAINES RD STE 500",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337464",
            "telephone_number": "817-761-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425277701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.