Individual provider Active NPI

Angela Racquel Eklund, MD

  • Internal Medicine Physician
  • Temple, TX
National Provider Identifier
1245434802
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N3660 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N3660 TX Primary
Internal Medicine Physician 207R00000X BP1-0024638 TX

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 1

IdentifierTypeStateIssuer
3711451877OtherMYUTMB 3711451877-COMMERCIAL NUMBER

Other names 1

  • Dr. Angela Racquel Gardner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANGELA.EKLUND@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091030000270 TX Practitioner - Internal Medicine 1254478811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Area Primary Care, PLLCGroup PAC ID 9537237482, 19 clinicians

Practice addresses (Care Compare)

105 Wildwood Dr
Suite 105
Georgetown, TX 78633-1344
Phone (512) 763-4060

109 Estrella Xing
Georgetown, TX 78628-6991
Phone (512) 943-9804

3201 S Austin Ave
Georgetown, TX 78626-7639

Hospital & facility affiliations

  • St. David'S Healthcare at Home Home health agency, Austin, TX, CCN 679682
  • Vitalcaring Group Home health agency, Temple, TX, CCN 457159
  • Enhabit Home Health Home health agency, Georgetown, TX, CCN 679647
  • Home Care Providers of Texas Home health agency, Dallas, TX, CCN 453157
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as individual
Quality
73.76
Promoting interoperability
100
Improvement activities
40
Cost
67.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0024638TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC CurrentSince Sep 1, 2019 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

105 Wildwood Dr
Ste 105
Georgetown, TX 78633
Phone (512) 763-4060

3201 S Austin Ave
Ste 210
Georgetown, TX 78626
Phone (512) 763-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 4164-eklund-angela@direct.leadingreach.com

Organizations & group practices 2

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 6

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245434802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "ANGELA",
        "middle_name": "RACQUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3660",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0024638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3711451877-COMMERCIAL NUMBER",
            "identifier": "3711451877",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANGELA.EKLUND@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GARDNER",
            "middle_name": "RACQUEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.