Individual provider Active NPI

Angela A D'Urso, MD

  • Allergy Physician
  • Morgantown, PA
National Provider Identifier
1194911909
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD057762L Issued in PA
Practice address
5 Morgan Dale CT
Morgantown, PA 19543-8849
Phone
(610) 913-1303
NPI assigned
Sep 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD057762L PA Primary

Addresses

Primary practice location

5 Morgan Dale CT
Morgantown, PA 19543-8849

Mailing address

5 Morgan Dale CT
Morgantown, PA 19543-8849
Phone (610) 913-1303

Other identifiers 1

IdentifierTypeStateIssuer
8013209MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081031000241 PA Practitioner - Allergy/Immunology 1557323946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

656 W Lincoln Hwy
Exton, PA 19341-2514
Phone (610) 269-3066

Hospital & facility affiliations

  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exton Allergy & Asthma Associates, P.C. CurrentSince Sep 15, 2008 Accepting new patients

Locations

656 W Lincoln Hwy
Exton, PA 19341
Phone (610) 269-3066

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1194911909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORGAN DALE CT",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195438849",
            "telephone_number": "610-913-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN DALE CT",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195438849",
            "telephone_number": "610-913-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'URSO",
        "first_name": "ANGELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD057762L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8013209",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, PA

Sources for this page

Verify at the official NPI Registry.