Individual provider Active NPI

Angelo Paul Morreale, DPM

  • Podiatrist
  • Shreveport, LA
National Provider Identifier
1447214143
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PDO64R Issued in LA
Practice address
725 N Ashley Ridge Loop
Suite 200
Shreveport, LA 71106-7232
Phone
(318) 797-3668
Fax
(318) 797-7977
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PDO64R LA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X DPMPDO64R LA
Foot Surgery Podiatrist 213ES0131X DPMPDO64R LA
Primary Podiatric Medicine Podiatrist 213EP1101X DPMPDO64R LA
Radiology Podiatrist 213ER0200X DPMPDO64R LA
Sports Medicine Podiatrist 213ES0000X DPMPDO64R LA

Addresses

Primary practice location

725 N Ashley Ridge Loop
Suite 200
Shreveport, LA 71106-7232

Mailing address

PO Box 52313
Shreveport, LA 71135-2313
Phone (318) 797-3668

Other identifiers 1

IdentifierTypeStateIssuer
1905801MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000203 LA Practitioner - Podiatry 9638211667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 N Ashley Ridge Loop
Suite 200
Shreveport, LA 71106-7233
Phone (318) 797-3668

Merit-based Incentive Payment System (MIPS)

Final score
72.23 of 100Reported as individual
Quality
44.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PDO64RLAMDPodiatrist
DPMPDO64RLAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo P Morreale, DPM, a Prof Corp Podiatrist CurrentSince Jun 1, 1986 Accepting new patients

Locations

422 Dixie Plz
Natchitoches, LA 71457
Phone (318) 357-3571

725 N Ashley Ridge Loop
Ste 200
Shreveport, LA 71106
Phone (318) 220-0682

Interoperability endpoints

  • Direct secure messaging: angelo.morreale.1@9744.direct.athenahealth.com

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1447214143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52313",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352313",
            "telephone_number": "318-797-3668",
            "fax_number": "318-797-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N ASHLEY RIDGE LOOP",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067232",
            "telephone_number": "318-797-3668",
            "fax_number": "318-797-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREALE",
        "first_name": "ANGELO",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PDO64R",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPMPDO64R",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "DPMPDO64R",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "LA",
            "license": "DPMPDO64R",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "LA",
            "license": "DPMPDO64R",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "LA",
            "license": "DPMPDO64R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905801",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.