Active NPI
Angela G Pence, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01046191A
- Practice address
- 9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307 - Phone
- (317) 579-2150
- Fax
- (317) 579-2130
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1046191 | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01046191A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01046191A | IN | Primary |
Addresses
Primary practice location
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Mailing address
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00032459 | Other | RR MEDICARE PIN | |
| P00032639 | Other | RR MEDICARE PIN | |
| 200197350A | Medicaid | IN | |
| 300131511 | Other | IN | RAILROAD MEDICARE |
| P00032678 | Other | RR MEDICARE PIN | |
| P00032681 | Other | RR MEDICARE PIN | |
| P00257531 | Other | RR MEDICARE PIN | |
| P00032507 | Other | RR MEDICARE PIN | |
| P00032969 | Other | RR MEDICARE PIN | |
| P00033122 | Other | RR MEDICARE PIN | |
| 000000219647 | Other | IN | ANTHEM |
| P00032457 | Other | RR MEDICARE PIN | |
| P00032458 | Other | RR MEDICARE PIN | |
| P00032640 | Other | RR MEDICARE PIN | |
| P00032679 | Other | RR MEDICARE PIN | |
| P00032756 | Other | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of South Alabama College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18051 River Rd
Suite 103
Noblesville, IN 46062-7093
Phone (317) 776-6789
395 Westerfield Rd
Noblesville, IN 46060-1425
395 Westfield Dr
Noblesville, IN 46060-1425
395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157
395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440
395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520
395 Westfield Rd RM
Noblesville, IN 46060-1425
720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331
9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150
Hospital & facility affiliations
- Riverview Health
- Community Hospital East
- Franciscan Health Indianapolis
- Community Hospital of Anderson and Madison County
- Community Hospital North
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046191 | IN | MD | Diagnostic Radiology Physician |
| 01046191A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology of Indiana P C | Diagnostic Radiology | Current | Accepting new patients |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Diagnostic Radiology | Past | Accepting new patients |
| American Health Network of Indiana, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
7340 Shadeland Sta
Ste 200
Indianapolis, IN 46256
18051 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 329-7430
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
611 E 10th St
Sheridan, IN 46069
Phone (317) 758-4477
Interoperability endpoints
- apence7624@direct.franciscanalliance.org
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1992723829
-
- Family Medicine Physician
- Noblesville, IN
- NPI 1609074921
-
- Rural Health Clinic/Center
- Greensburg, IN
- NPI 1437900800
-
- General Practice Physician
- Greensburg, IN
- NPI 1619193505
-
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
Diagnostic Radiology
-
- Family Medicine Physician
- Russiaville, IN
- NPI 1639273014
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1013902543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9998 CROSSPOINT BLVD",
"address_2": "STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563307",
"telephone_number": "317-579-2150",
"fax_number": "317-579-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9998 CROSSPOINT BLVD STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563307",
"telephone_number": "317-579-2150",
"fax_number": "317-579-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCE",
"first_name": "ANGELA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "1046191",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01046191A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01046191A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032459",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032639",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200197350A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300131511",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032681",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00257531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00033122",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000219647",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032457",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00032756",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.