Individual provider Active NPI

Angela Macri

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1396140695
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2015-01100 Issued in NC
Practice address
2925 Aventura Blvd Ste 205
Aventura, FL 33180-3108
Phone
(305) 933-6716
NPI assigned
Oct 29, 2014
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2015-01100 NC Primary

Addresses

Primary practice location

2925 Aventura Blvd Ste 205
Aventura, FL 33180-3108

Mailing address

1918 Randolph Rd
Ste 550
Charlotte, NC 28207-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180920002059 NC Practitioner - Dermatology 8426309022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of North Raleigh, PLLCGroup PAC ID 1456607852, 4 clinicians

Practice addresses (Care Compare)

3809 Computer Dr
Suite 200
Raleigh, NC 27609-6518
Phone (919) 782-3782

Merit-based Incentive Payment System (MIPS)

Final score
93.27 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of skin lesions706
Removal of skin cancer268
Removal or shaving of skin growth16
Skin biopsy329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrus & Associates Dermatology, PA Dermatology CurrentSince May 1, 2019 Accepting new patients
Integrated Dermatology of North Raleigh, PLLC Dermatology CurrentSince May 1, 2019 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Apr 15, 1991 Accepting new patients

Locations

3809 Computer Dr
Ste 200
Raleigh, NC 27609
Phone (919) 782-3782

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1396140695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "STE 550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD STE 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803108",
            "telephone_number": "305-933-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRI",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2015-01100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.