Individual provider Active NPI

Angela M Iacobelli, M.D.

  • Allergy & Immunology Physician
  • Sterling Heights, MI
National Provider Identifier
1154356962
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301406807 Issued in MI
Practice address
43417 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone
(586) 981-0390
Fax
(586) 803-3512
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301406807 MI Primary

Addresses

Primary practice location

43417 Schoenherr Rd
Sterling Heights, MI 48313-1961

Mailing address

43417 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone (586) 981-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100903000558 MI Practitioner - Allergy/Immunology 4587788096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Specialists of Michigan PLLCGroup PAC ID 2860747359, 2 clinicians

Practice addresses (Care Compare)

43417 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone (586) 981-0390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301406807MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M. Bruner, D.O., P.C. Allergy & Immunology CurrentSince Jul 21, 1993 Accepting new patients
Allergy and Asthma Specialists of Michigan, PLLC Allergy & Immunology CurrentSince Jun 1, 2018 Accepting new patients

Locations

42607 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-9010

8359 Office Park Dr
Grand Blanc, MI 48439
Phone (877) 347-7978

43417 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 532-0803

Interoperability endpoints

  • Direct secure messaging: aiacobelli522062@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1154356962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43417 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131961",
            "telephone_number": "586-981-0390",
            "fax_number": "586-803-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43417 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131961",
            "telephone_number": "586-981-0390",
            "fax_number": "586-803-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOBELLI",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301406807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.