Angeline Derham, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

S4460 Issued in TX

Practice address

5717 Balcones Dr
Austin, TX 78731-4203

Phone

(512) 327-7000

Fax

(512) 314-1661

NPI assigned

Apr 6, 2016

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texan Eye, PAGroup PAC ID 2466440458, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.86 of 100Reported as group

Quality

86.13

Promoting interoperability

89

Improvement activities

40

Cost

79.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961
  Medicare reassignment Care Compare group NPD
• Texan Eye, P.a.

  • Eyewear Supplier
  • Cedar Park, TX
  • NPI 1053773127
  NPD
• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1144364431
  NPD (past)
• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1487753802
  NPD (past)
• Texan Eye, PA

  • Eyewear Supplier
  • Austin, TX
  • NPI 1669418471
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1255795217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-314-1613",
            "fax_number": "512-314-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERHAM",
        "first_name": "ANGELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S4460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derby Family Dental PLLC (Derby Dental)
• Virginia Jane Derebery, M.D.
• Gabrielle Nicole Deregla
• Derek Hamilton OD PA (Hamilton Eye Associates)
• Kim Deremer, L.C.D.C
• Dermatology Specialists of Austin, P.a. (Steriner Ranch Dermatology)
• Amna I. Dermish, MD
• Derrick D Flint, MD, DDS, PLLC (Oral Surgery Specialist of Austin)
• Nancy C. Derrick, MSCP, LPCS
• Scott Derrick

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.

Verify at the official NPI Registry.