Active NPI
Angela Marie Pronger, MD/PHD
- Diagnostic Radiology Physician
- Seattle, WA
National Provider Identifier
1154858280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD.MD.70111090
- Practice address
- 1959 NE Pacific St FL 2
Seattle, WA 98195-0001 - Phone
- (206) 598-7200
- NPI assigned
- May 19, 2017
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.MD.70111090 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01080839A | IN | |
| General Practice Physician | 208D00000X | 01080839A | IN |
Addresses
Primary practice location
1959 NE Pacific St FL 2
Seattle, WA 98195-0001
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (240) 656-0833
Other practice location 1
Walter Reed National Military Medical Center
4494 Palmer Rd N
Bethesda, MD 20814
Phone (240) 656-0833
Other practice location 2
Naval Medical Ctr 34800 Bob Wilson Dr
San Diego, CA 92134-0001
Phone (619) 532-5998
Other practice location 3
Naval Medical Center Portsmouth
620 John Paul Jones Cir
Portsmouth, VA 23708
Phone (240) 656-0833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD0000 | Other | MEDICARE MILITARY PHYSICIANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01080839A | IN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1154858280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "240-656-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST FL 2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-7200"
}
],
"practiceLocations": [
{
"address_1": "Walter Reed National Military Medical Center",
"address_2": "4494 Palmer Rd N",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "20814",
"country_code": "US",
"telephone_number": "240-656-0833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Naval Medical Ctr 34800 Bob Wilson Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921340001",
"country_code": "US",
"telephone_number": "619-532-5998",
"fax_number": "619-532-5507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Naval Medical Center Portsmouth",
"address_2": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "23708",
"country_code": "US",
"telephone_number": "240-656-0833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRONGER",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD/PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD.MD.70111090",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01080839A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01080839A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MILITARY PHYSICIANS",
"identifier": "VAD0000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.