Individual provider Active NPI

Angelo Collins, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1427285154
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301093930 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2600
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.099865 OH
Family Medicine Physician 207Q00000X 4301093930 MI Primary
Emergency Medicine Physician 207P00000X 35.099865 OH

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

18808 Greystone Dr
Macomb, MI 48042-6047

Other practice location 1

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 238-2390

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
I20120904000511 OH Practitioner - Family PracticePractitioner - Emergency Medicine 8325295975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians
Blanchard Valley Regional Health CenterGroup PAC ID 3971404187, 88 clinicians

Practice addresses (Care Compare)

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 238-2390

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 358-9010

Hospital & facility affiliations

  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071
  • Bluffton Hospital Hospital, Bluffton, OH, CCN 361322
  • Bluffton Hospital Nursing home, CCN 36Z322

Merit-based Incentive Payment System (MIPS)

Final score
67.98 of 100Reported as group
Quality
55.52
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093930MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Oct 7, 2022 Accepting new patients
Blanchard Valley Regional Health Center Family Medicine Current Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Apr 15, 2015 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jan 1, 2014 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Blanchard Valley Regional Health Center Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

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

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

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

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1427285154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18808 GREYSTONE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480426047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458912551",
            "country_code": "US",
            "telephone_number": "419-238-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.099865",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093930",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.099865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.