Individual provider Active NPI

Angela Keros Badra, MD

  • Family Medicine Physician
  • Owosso, MI
National Provider Identifier
1295726081
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012489 Issued in MI
Practice address
204 W Exchange St
Owosso, MI 48867-2818
Phone
(323) 723-0046
NPI assigned
Nov 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012489 MI Primary

Addresses

Primary practice location

204 W Exchange St
Owosso, MI 48867-2818

Mailing address

111 Swallowtail LN
Okemos, MI 48864-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040204000526 MI Practitioner - General PracticePractitioner - Family Practice 6406758093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

200 Health Park Dr
Owosso, MI 48867-1291
Phone (989) 723-8666

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince May 20, 2024 Accepting new patients
Memorial Hospital CurrentSince May 20, 2024 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1488 N M 52
Owosso, MI 48867
Phone (989) 725-8124

200 Health Park Dr
Ste 201
Owosso, MI 48867
Phone (989) 723-8666

239 N State Rd
Owosso, MI 48867
Phone (989) 743-3415

503 E Main St
Owosso, MI 48867
Phone (989) 723-0046

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

3737 Lansing Rd
Perry, MI 48872
Phone (517) 625-6911

Interoperability endpoints

  • Direct secure messaging: a.badra@memorialhealthcare.midirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295726081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SWALLOWTAIL LN",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672818",
            "telephone_number": "323-723-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRA",
        "first_name": "ANGELA",
        "middle_name": "KEROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.