Individual provider Active NPI

Angeline Marie Owens, DO

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1346744711
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.014129 Issued in OH
Practice address
3404 W. Sylvania Avenue
Toledo, OH 43623
Phone
(419) 251-3232
NPI assigned
Mar 21, 2018
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 34.014129 OH Primary

Addresses

Primary practice location

3404 W. Sylvania Avenue
Toledo, OH 43623

Mailing address

3404 W. Sylvania Avenue
Toledo, OH 43623

Other identifiers 1

IdentifierTypeStateIssuer
1346744711MedicaidOH

Other names 1

  • Dr. Angeline Marie Modesti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200506002956 OH Practitioner - Emergency Medicine 4688929227 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwood Emergency Services IncGroup PAC ID 1153225669, 34 clinicians
Ashland Emergency Group LLCGroup PAC ID 6002290525, 10 clinicians
Mercy Emergency Care Services IncGroup PAC ID 9436475795, 64 clinicians

Practice addresses (Care Compare)

1404 E 2ND St
Defiance, OH 43512-2440
Phone (567) 368-1008

1600 E Riverview Ave
Napoleon, OH 43545-9399
Phone (419) 592-4015

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014129OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Aug 12, 2022 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine CurrentSince May 24, 2023 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Nov 14, 2024 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Dec 30, 2024 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Dec 30, 2024 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Mercy Health Physicians-North LLC Past Accepting new patients
Mercy Health System Northern Past Accepting new patients

Locations

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2213 Cherry St
Fl 1
Toledo, OH 43608
Phone (419) 251-4724

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 11

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 6

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1346744711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W. SYLVANIA AVENUE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W. SYLVANIA AVENUE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-251-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ANGELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346744711",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINE",
            "last_name": "MODESTI",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.