Individual provider Active NPI

Angela G Pence, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1013902543
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01046191A Issued in IN
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

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00032459OtherRR MEDICARE PIN
P00032639OtherRR MEDICARE PIN
200197350AMedicaidIN
300131511OtherINRAILROAD MEDICARE
P00032678OtherRR MEDICARE PIN
P00032681OtherRR MEDICARE PIN
P00257531OtherRR MEDICARE PIN
P00032507OtherRR MEDICARE PIN
P00032969OtherRR MEDICARE PIN
P00033122OtherRR MEDICARE PIN
000000219647OtherINANTHEM
P00032457OtherRR MEDICARE PIN
P00032458OtherRR MEDICARE PIN
P00032640OtherRR MEDICARE PIN
P00032679OtherRR MEDICARE PIN
P00032756OtherRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120001016 IN Practitioner - Diagnostic Radiology 2567363641 Reassigns benefits to 4 organizations

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
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians
Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1046191INMDDiagnostic Radiology Physician
01046191AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince May 1, 2002 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Sep 11, 2019 Accepting new patients
Riverview Hospital CurrentSince Oct 15, 2025 Accepting new patients
Riverview Hospital CurrentSince Oct 15, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jun 4, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.