Active NPI
Angelo Paul Morreale, DPM
- Podiatrist
- Shreveport, LA
National Provider Identifier
1447214143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PDO64R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1905801 | Medicaid | LA |
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
Enrollment records 1
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 100
- Quality
- 44.46
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PDO64R | LA | MD | Podiatrist |
| DPMPDO64R | LA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelo P Morreale, DPM, a Prof Corp | Podiatrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.