Individual provider Active NPI

Richard John Deangelis, M.D.

  • MOHS-Micrographic Surgery Physician
  • Anderson, SC
National Provider Identifier
1427059997
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
15293 Issued in SC
Practice address
1409 N Fant St
Anderson, SC 29621-4825
Phone
(864) 231-8599
Fax
(864) 231-8073
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 15293 SC Primary

Addresses

Primary practice location

1409 N Fant St
Anderson, SC 29621-4825

Mailing address

1409 N Fant St
Anderson, SC 29621-4825
Phone (864) 231-8599

Other identifiers 1

IdentifierTypeStateIssuer
TL2726MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20111114000298 SC Practitioner - Dermatology 2264503770

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
29.97 of 100Reported as individual
Quality
27.22
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15293SCMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Skin & Surgery Mohs-Micrographic Surgery CurrentSince Oct 1, 1996 Accepting new patients

Locations

1409 N Fant St
Anderson, SC 29621
Phone (864) 231-8599

107 Clair Dr
Piedmont, SC 29673
Phone (864) 295-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427059997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214825",
            "telephone_number": "864-231-8599",
            "fax_number": "864-231-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214825",
            "telephone_number": "864-231-8599",
            "fax_number": "864-231-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "15293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL2726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.