Individual provider Active NPI

Abigail Suzanne Angulo, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1134414964
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
DR0053900 Issued in CO
Practice address
13123 E 16TH Ave # 140
Aurora, CO 80045-7106
Phone
(847) 477-4576
NPI assigned
Jun 9, 2011
Last updated
May 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-059445 IL
Developmental - Behavioral Pediatrics Physician 2080P0006X DR0053900 CO Primary

Addresses

Primary practice location

13123 E 16TH Ave # 140
Aurora, CO 80045-7106

Mailing address

13123 E 16TH Ave # 140
Aurora, CO 80045-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170802002491 CO Practitioner - Pediatric MedicinePractitioner - Hospitalist 0547566820 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-059445ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince Jul 1, 2017 Accepting new patients
University Physicians Incorporated Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Children's Hospital Colorado Past Accepting new patients
Children's Hospital Colorado Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13123 E 16th Ave
#140
Aurora, CO 80045
Phone (720) 777-6869

13123 E 16th Ave
Ste B10
Aurora, CO 80045

13123 E 16th Ave
Ste B130
Aurora, CO 80045

23770 E Smoky Hill Rd
Aurora, CO 80016
Phone (303) 812-5045

860 Potomac Cir
Aurora, CO 80011
Phone (720) 777-0300

Dept 1061
Denver, CO 80256

1905 Blake Ave
Ste 201
Glenwood Springs, CO 81601
Phone (970) 947-9999

Interoperability endpoints

  • Direct secure messaging: aangulo51020@direct.childrenscolorado.org

Organizations & group practices 5

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1134414964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE # 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE # 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "847-477-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO",
        "first_name": "ABIGAIL",
        "middle_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-059445",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CO",
            "license": "DR0053900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.