Robert N Deangelis MD LTD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

0101057902 Issued in VA

Legal business name

ROBERT N DEANGELIS MD LTD

Practice address

8346 Traford LN
Springfield, VA 22152-1600

Phone

(703) 451-8777

Fax

(703) 451-6936

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Robert N Deangelis Sr., M.D.NPI 1841282803

Title

President

Phone

(703) 451-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert N Deangelis, MD

  • Dermatology Physician
  • Springfield, VA
  • NPI 1841282803

  DC

  Medicare reassignment NPD Authorized official
• Nancy Carol Deangelis Currey, MD

  • Allergy & Immunology Physician
  • Springfield, VA
  • NPI 1952394975
  NPD (past)
• Anil Verma, M.D.

  • Internal Medicine Physician
  • Springfield, VA
  • NPI 1174628366
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1376794644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521600",
            "telephone_number": "703-451-8777",
            "fax_number": "703-451-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521600",
            "telephone_number": "703-451-8777",
            "fax_number": "703-451-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N DEANGELIS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-451-8777",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101057902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "163153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jhosael Rivas
• Karen Rivera, CPHT
• Maria Soledad Rivera, MD
• Ericka D Rivers
• Riverwood Medical Incorporated
• Wilma Jean Roberts
• Hannah Elaine Robertson
• Patricia Aileen Robertson, ARNP, FNP, ANP, MSN
• Karen Robinson-Yaw, LPC-R
• Kia Robinson

• Dermatopathology Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Dermatopathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.