Individual provider Active NPI

Nicholas William Deangelis, M.D.

  • Pediatrics Physician
  • Westminster, MD
National Provider Identifier
1295112977
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0082683 Issued in MD
Practice address
332 140 Village Road Suite 1
Westminster, MD 21157-6196
Phone
(410) 876-9680
Fax
(410) 386-0876
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0082683 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

332 140 Village Road Suite 1
Westminster, MD 21157-6196

Mailing address

332 140 Village Road Suite 1
Westminster, MD 21157-6196
Phone (480) 529-6034

Other identifiers 1

IdentifierTypeStateIssuer
225ILIDDMedicaidMD

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0082683MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Lieberman MD PA Single Specialty CurrentSince Dec 7, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

332 140 Village Rd
Ste 1
Westminster, MD 21157
Phone (410) 848-3860

1130 Baltimore Blvd
Ste B
Westminster, MD 21157

1130 Baltimore Blvd
Westminster, MD 21157
Phone (410) 848-2170

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.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1295112977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 140 VILLAGE ROAD SUITE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576196",
            "telephone_number": "480-529-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 140 VILLAGE ROAD SUITE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576196",
            "telephone_number": "410-876-9680",
            "fax_number": "410-386-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0082683",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225ILIDD",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.