Abigail Suzanne Angulo, M.D.

Key facts

NPI

1134414964

Entity type

Individual (NPI type 1)

Primary specialty

Developmental - Behavioral Pediatrics Physician 2080P0006X

License

DR0053900 (CO)

Practice address

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

Phone

(847) 477-4576

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• University Physicians Incorporated Internal Medicine Physician · Aurora, CO · NPI 1962461889
  Medicare reassignment NPD CO · PEDIATRICS
• Children'S Hospital Colorado Clinical Social Worker · Aurora, CO · NPI 1174282776
  NPD
• University Physicians, Incorporated Sports Medicine (Orthopaedic Surgery) Physician · Denver, CO · NPI 1275045049
  NPD
• Children'S Hospital Colorado Multi-Specialty Clinic/Center · Glenwood Springs, CO · NPI 1326620022
  NPD (past)
• Children'S Hospital Colorado Multi-Specialty Clinic/Center · Durango, CO · NPI 1760062327
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 23, 2017.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134414964",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Aurora, CO · Developmental - Behavioral Pediatrics Physician in Colorado