Individual provider Active NPI

Angelo J. Pagani, PA-C

  • Physician Assistant
  • Medina, OH
National Provider Identifier
1437667797
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50005467RX Issued in OH
Practice address
784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone
(330) 591-9635
Fax
(330) 591-4150
NPI assigned
Jan 19, 2018
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50005467RX OH Primary

Addresses

Primary practice location

784 Medina Rd Ste 107
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone (330) 591-9635

Other practice location 1

535 E Smith Rd
Medina, OH 44256-2637
Phone (330) 591-9635

Other identifiers 1

IdentifierTypeStateIssuer
0263330MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228001578 OH Practitioner - Physician Assistant 7113288556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Wound Solutions, LLCGroup PAC ID 5597244194, 7 clinicians

Practice addresses (Care Compare)

784 Medina Rd
Suite 104
Medina, OH 44256-9634
Phone (330) 661-4008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Foot & Ankle Center LLC CurrentSince Jul 7, 2025 Accepting new patients
Prestige Wound Solutions, LLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

535 E Smith Rd
Medina, OH 44256
Phone (330) 591-9635

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 661-4008

784 Medina Rd
Ste 107
Medina, OH 44256
Phone (330) 591-9635

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.

Hospital & facility affiliations 4

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1437667797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562637",
            "country_code": "US",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGANI",
        "first_name": "ANGELO",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50005467RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263330",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.