Individual provider Active NPI

Angesom Measho

  • Driver
  • Pflugerville, TX
National Provider Identifier
1215717335
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
46772563 Issued in TX
Practice address
1514 Hollyhock CT
Pflugerville, TX 78660-8948
Phone
(640) 200-1399
NPI assigned
Oct 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 46772563 TX Primary
Driver 172A00000X

Addresses

Primary practice location

1514 Hollyhock CT
Pflugerville, TX 78660-8948

Mailing address

1514 Hollyhock CT
Pflugerville, TX 78660-8948
Phone (640) 200-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46772563TXMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Red Sea Transportation CurrentSince Nov 19, 2023 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1215717335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 HOLLYHOCK CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608948",
            "telephone_number": "640-200-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 HOLLYHOCK CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608948",
            "telephone_number": "640-200-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEASHO",
        "first_name": "ANGESOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "46772563",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.