Active NPI
Angelina Farella, M.D.
- Pediatrics Physician
- Schertz, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K7016
- Practice address
- 17323 Ih 35 N
Ste 113
Schertz, TX 78154-1277 - Phone
- (210) 543-7334
- Fax
- (210) 314-5044
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K7016 | TX | Primary |
Addresses
Primary practice location
17323 Ih 35 N
Ste 113
Schertz, TX 78154-1277
Mailing address
14100 San Pedro Ave Ste 412
San Antonio, TX 78232-4361
Phone (210) 281-8669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0109984 | Other | TX | TX DEPT OF PUBLIC SAFETY |
| K7016 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Henrietta St
Webster, TX 77598-5101
Phone (281) 332-0500
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Pediatrics | Past | Accepting new patients |
| Angelina Farella MD PA | Pediatrics | Past | Accepting new patients |
Locations
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
425 Henrietta St
Webster, TX 77598
Phone (281) 332-0500
Interoperability endpoints
- angelina.farella.1@8042.direct.athenahealth.com
- angelina.farella@885101451608068.direct.elationemr.com
Organizations & group practices 4
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.
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- Webster, TX
- NPI 1962689091
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- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417068172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 SAN PEDRO AVE STE 412",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324361",
"telephone_number": "210-281-8669",
"fax_number": "210-314-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17323 IH 35 N",
"address_2": "STE 113",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541277",
"telephone_number": "210-543-7334",
"fax_number": "210-314-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARELLA",
"first_name": "ANGELINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K7016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX DEPT OF PUBLIC SAFETY",
"identifier": "F0109984",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "K7016",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.