Active NPI
Kristina Marie Angelo, D.O.
- Infectious Disease Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 072696
- Practice address
- 1600 Clifton Rd NE
Mailbox E03
Atlanta, GA 30329-4018 - Phone
- (404) 718-4876
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A10901 | CA | |
| Infectious Disease Physician | 207RI0200X | DO.000254 | LA | |
| Infectious Disease Physician | 207RI0200X | 072696 | GA | Primary |
Addresses
Primary practice location
1600 Clifton Rd NE
Mailbox E03
Atlanta, GA 30329-4018
Mailing address
1600 Clifton Rd NE
Mailbox E03
Atlanta, GA 30329-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147170 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2665 N Decatur Rd
Suite 330
Decatur, GA 30033-6145
Phone (404) 297-9755
Hospital & facility affiliations
- Emory Decatur Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072696 | GA | MD | Infectious Disease Physician |
| DO.000254 | LA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Infectious Disease | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Infectious Disease | Current | Accepting new patients |
| Metro Infectious Disease Consultants, LLC | Infectious Disease | Past | Accepting new patients |
Locations
11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360
2665 N Decatur Rd
Ste 330
Decatur, GA 30033
Phone (404) 297-9755
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
Interoperability endpoints
- kristinaangelo@infectious.allscriptsdirect.net
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
GA
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1144553249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MAILBOX E03",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MAILBOX E03",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018",
"telephone_number": "404-718-4876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A10901",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "LA",
"license": "DO.000254",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "072696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2147170",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.