Active NPI
Angela Salcedo Aquino
- Internal Medicine Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.251651
- Practice address
- 1001 Covington St
Youngstown, OH 44510-1617 - Phone
- (330) 480-2616
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
OH
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown Specialty Care LLC
Practice addresses (Care Compare)
1044 Belmont Ave
FL 3
Youngstown, OH 44504-1006
Phone (330) 729-3877
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250915002678 | OH | Practitioner - Internal Medicine | 0547660490 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616
1044 Belmont Ave
Fl 3
Youngstown, OH 44504
Phone (330) 729-3877
Interoperability endpoints
- aaquino861603@direct.bsmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.251651 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1001 Covington St
Youngstown, OH 44510-1617
Mailing address
1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-2616
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7400674 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2021.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1093395576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "ANGELA",
"middle_name": "SALCEDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.251651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7400674",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.