Active NPI
Debra Gail Angelo, M.D.
- Internal Medicine Physician
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME108038
- Practice address
- 9332 State Road 54 Ste 302
Trinity, FL 34655-1810 - Phone
- (727) 834-4450
- Fax
- (727) 816-2151
- NPI assigned
- Dec 17, 2009
- Last updated
- May 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 35-094510 | OH | |
| Internal Medicine Physician | 207R00000X | ME108038 | FL | Primary |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | ME108038 | FL |
Addresses
Primary practice location
9332 State Road 54 Ste 302
Trinity, FL 34655-1810
Mailing address
PO Box 645743
Cincinnati, OH 45264-5743
Phone (855) 689-5105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110400300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11371 Cortez Blvd
Suite 134
Brooksville, FL 34613-5408
Phone (352) 606-7182
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636
9330
54 Medical Center of Trinity
Trinity, FL 34655-1808
Phone (727) 845-9115
Hospital & facility affiliations
- HCA Florida Trinity Hospital
- St Johns Medical Center
- HCA Florida Oak Hill Hospital
- Morton Plant North Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.82 of 100
- Quality
- 67.1
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-094510 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nautilus Health Care Group, LLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Teton County Hospital District | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Nautilus Health Care Group LLC | Internal Medicine | Current | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Oak Hill Hospitalist, LLC | Internal Medicine | Past | Accepting new patients |
Locations
11371 Cortez Blvd
Ste 134
Brooksville, FL 34613
Phone (352) 606-7182
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
7525 Medical Dr
Hudson, FL 34667
Phone (727) 869-5551
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1609 Pasadena Ave S
Ste 2N
South Pasadena, FL 33707
Phone (727) 398-6650
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
9332 State Road 54
Ste 302
Trinity, FL 34655
Phone (727) 834-4442
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
Interoperability endpoints
- debra.angelo@hca4.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Internal Medicine
-
dba St John's Health
- General Practice Physician
- Jackson, WY
- NPI 1487818605
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1750741534
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Internal Medicine Physician
- Brooksville, FL
- NPI 1720152283
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba Morton Plant North Bay Hospital
- General Acute Care Hospital
- New Port Richey, FL
- NPI 1437135811
-
dba HCA Florida Trinity Hospital
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
-
dba St John's Medical Center/ or St John's Health
- General Acute Care Hospital
- Jackson, WY
- NPI 1801835475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1174852362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645743",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452645743",
"telephone_number": "855-689-5105",
"fax_number": "888-507-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9332 STATE ROAD 54 STE 302",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551810",
"telephone_number": "727-834-4450",
"fax_number": "727-816-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "DEBRA",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-094510",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME108038",
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "ME108038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110400300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.