Individual provider Active NPI

Angela Beth Echeverria, M.D.

  • Vascular Surgery Physician
  • Bonita Springs, FL
National Provider Identifier
1306157078
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.140245 Issued in OH
Practice address
3250 Bonita Beach Rd Ste 205
Bonita Springs, FL 34134-4190
Phone
(239) 339-7220
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME129595 FL
Vascular Surgery Physician 2086S0129X MD224438 OR
Surgery Physician 208600000X R72234 AZ
Vascular Surgery Physician 2086S0129X 35.140245 OH Primary
Vascular Surgery Physician 2086S0129X 50065 AZ

Addresses

Primary practice location

3250 Bonita Beach Rd Ste 205
Bonita Springs, FL 34134-4190

Mailing address

3250 Bonita Beach Rd
Bonita Springs, FL 34134-4190

Other practice location 1

2270 S Ridgeview Dr Ste 201
Yuma, AZ 85364-8880
Phone (928) 344-5055

Other identifiers 1

IdentifierTypeStateIssuer
0412130MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Coastalvascularsurgeonsnaples@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, OR, ME4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170831000031 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 9133329808 Reassigns benefits to 1 organization
I20200803001525 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 9133329808 Reassigns benefits to 1 organization
I20250414001516 OR Practitioner - General Surgery 9133329808 Reassigns benefits to 1 organization
I20250530000154 ME Practitioner - General Surgery 9133329808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72234AZMDSurgery Physician
ME129595FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center Single Specialty Current Accepting new patients
Peacehealth Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Naples Vascular Specialists LLC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Yuma Regional Medical Center Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Central Maine Medical Center Single Specialty CurrentSince Mar 22, 2025 Accepting new patients
Yuma Regional Medical Center Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 14, 2020 Accepting new patients
Premier Health Specialists Inc Single Specialty CurrentSince Aug 14, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Mar 22, 2025 Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2270 S Ridgeview Dr
Ste 201
Yuma, AZ 85364
Phone (928) 344-5055

130 Tamiami Trl N
Ste 120
Naples, FL 34102
Phone (239) 263-1910

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

2350 Miami Valley Dr
Ste 300
Centerville, OH 45459
Phone (937) 438-8640

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Fl Third
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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 1

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1306157078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 BONITA BEACH RD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 BONITA BEACH RD STE 205",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344190",
            "telephone_number": "239-339-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 S Ridgeview Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648880",
            "country_code": "US",
            "telephone_number": "928-344-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "ANGELA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME129595",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD224438",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R72234",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.140245",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "50065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412130",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Coastalvascularsurgeonsnaples@gmail.com",
            "affiliation": "N",
            "address_1": "3250 Bonita Beach Rd Ste 205",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341344190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.