Individual provider Active NPI

Peter L Ang, M.D.

  • Internal Medicine Physician
  • Huntsville, TX
National Provider Identifier
1134186331
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U7830 Issued in TX
Practice address
100 Medical Center Pkwy Ste 1000
Huntsville, TX 77340-4966
Phone
(936) 295-8000
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17122 WV
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 17122 WV
Geriatric Medicine (Internal Medicine) Physician 207RG0300X U7830 TX
Internal Medicine Physician 207R00000X U7830 TX Primary

Addresses

Primary practice location

100 Medical Center Pkwy Ste 1000
Huntsville, TX 77340-4966

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

1377 Locust Ave
Fairmont, WV 26554-1445
Phone (304) 366-3500

Other identifiers 1

IdentifierTypeStateIssuer
6000489000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pang194683@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240515001919 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6103914296 Reassigns benefits to 1 organization
I20240712002019 WV Practitioner - Family Practice 6103914296

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Pkwy
Suite 1000
Huntsville, TX 77340-4966
Phone (713) 442-0000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor, P.a. CurrentSince Nov 24, 2024 Accepting new patients
Kelsey-Seybold Medical Group, PLLC Internal Medicine CurrentSince Dec 16, 2024 Accepting new patients
Scott & White Hospital - Taylor PastSince Jul 1, 2024 Accepting new patients

Locations

100 Medical Center Pkwy
Ste 1000
Huntsville, TX 77340
Phone (936) 295-8000

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

Interoperability endpoints

  • Direct secure messaging: pang100646@direct.kelsey-seybold.com
  • Direct secure messaging: pang1322002@direct.sw.org

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.

Hospital & facility affiliations 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1134186331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 1000",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404966",
            "telephone_number": "936-295-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1377 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541445",
            "country_code": "US",
            "telephone_number": "304-366-3500",
            "fax_number": "304-366-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANG",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17122",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "17122",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "U7830",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000489000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pang194683@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1377 Locust Ave",
            "city": "Fairmont",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265541445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.