Individual provider Active NPI

Adla Angelina, MD

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1316130206
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DR.0060843 Issued in CO
Practice address
3003 E 3Rd Ave # B110-I
Denver, CO 80206-5110
Phone
(303) 630-9412
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X DR.0060843 CO
Clinical Pathology Physician 207ZC0006X DR.0060843 CO
General Practice Physician 208D00000X DR.0060843 CO Primary

Addresses

Primary practice location

3003 E 3Rd Ave # B110-I
Denver, CO 80206-5110

Mailing address

3003 E 3Rd Ave # B110-I
Denver, CO 80206-5110
Phone (303) 630-9412

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0060843COMDClinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1316130206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E 3RD AVE # B110-I",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065110",
            "telephone_number": "303-630-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E 3RD AVE # B110-I",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065110",
            "telephone_number": "303-630-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELINA",
        "first_name": "ADLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CO",
            "license": "DR.0060843",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "CO",
            "license": "DR.0060843",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0060843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.