Active NPI
Frank J Pangallo, MD
- Family Medicine Physician
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01067541A
- Practice address
- 411 W Tipton St
Seymour, IN 47274-2363 - Phone
- (812) 522-2349
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01067541A | IN | |
| Family Medicine Physician | 207Q00000X | 036078511 | IL | |
| Family Medicine Physician | 207Q00000X | 01067541A | IN | Primary |
Addresses
Primary practice location
411 W Tipton St
Seymour, IN 47274-2363
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036078511 | Medicaid | IL | |
| 04532206 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036078511 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Indiana Emergency Professionals PC | Emergency Medicine | Current | Accepting new patients |
| Greater Elgin Emergency Specialists LTD | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
Interoperability endpoints
- frank.pangallo@direct.dcmh.net
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
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- NPI 1285103671
-
- Emergency Medicine Physician
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- NPI 1013951219
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
-
- Emergency Medicine Physician
- Seymour, IN
- NPI 1205692712
-
- Institutional Pharmacy
- Greensburg, IN
- NPI 1033216429
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1134152366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1215935010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-522-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGALLO",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01067541A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036078511",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01067541A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078511",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04532206",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.