Active NPI
Niko Laii De Angel, MD
- Surgery Physician
- Edinburg, TX
National Provider Identifier
1043949027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- BP20086310
- Practice address
- 5501 S McColl Rd
Edinburg, TX 78539-5503 - Phone
- (569) 789-3937
- NPI assigned
- Jun 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BP20086310 | TX | Primary |
| Surgery Physician | 208600000X | BP10080726 | TX |
Addresses
Primary practice location
5501 S McColl Rd
Edinburg, TX 78539-5503
Mailing address
706 Pacific Ave
Edinburg, TX 78539-7356
Phone (956) 789-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10080726 | TX | MD | Surgery Physician |
| BP20086310 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1043949027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 PACIFIC AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397356",
"telephone_number": "956-789-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395503",
"telephone_number": "569-789-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ANGEL",
"first_name": "NIKO",
"middle_name": "LAII",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP20086310",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10080726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.