Individual provider Active NPI

Ronald M D Angelo, M.S. CCC-A

  • Audiologist
  • Rochester, NY
National Provider Identifier
1033281464
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001993 Issued in NY
Practice address
121 Erie Canal Dr
Ste. E
Rochester, NY 14626-4605
Phone
(585) 227-9920
NPI assigned
Nov 14, 2006
Last updated
Jan 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001993 NY Primary

Addresses

Primary practice location

121 Erie Canal Dr
Ste. E
Rochester, NY 14626-4605

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (585) 227-9920

Other identifiers 3

IdentifierTypeStateIssuer
11545677OtherCAQH
P010001993OtherNYEXCELLUS ROCHESTER REGION
179756AIOtherNYPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000415 NY Practitioner - Qualified Audiologist 3476634403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice Hearing Solutions IncGroup PAC ID 0840331849, 3 clinicians

Practice addresses (Care Compare)

130 Canal Landing Blvd
Suite 101
Rochester, NY 14626-5121
Phone (585) 723-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Choice Hearing Solutions, Inc Audiologist CurrentSince Sep 14, 2009 Accepting new patients

Locations

103 Canal Landing Blvd
Ste 3
Rochester, NY 14626
Phone (585) 723-3440

130 Canal Landing Blvd
Ste 101
Rochester, NY 14626
Phone (585) 723-3440

300 White Spruce Blvd
Ste 134
Rochester, NY 14623

Interoperability endpoints

  • Direct secure messaging: rd'angelo@cchb.medentdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1033281464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "585-227-9920",
            "fax_number": "585-225-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ERIE CANAL DR",
            "address_2": "STE. E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264605",
            "telephone_number": "585-227-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D ANGELO",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11545677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS ROCHESTER REGION",
            "identifier": "P010001993",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "179756AI",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.