Individual provider Active NPI

Michael Wayne D'Angelo

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1457493652
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0061639 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-6500
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0061639 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

5498 Springlake Way
Baltimore, MD 21212-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080130000345 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1456442185 Reassigns benefits to 4 organizations
I20240916000167 PA Practitioner - Diagnostic Radiology 1456442185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Radiology Associates PAGroup PAC ID 8022003367, 57 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (732) 821-5563

176 Route 9
Englishtown, NJ 07726-9218
Phone 73282155631242

3 Terry Dr
Suite 101
Newtown, PA 18940-1871
Phone (609) 921-8211

419 N Harrison St
Princeton, NJ 08540-3521
Phone 73282155631242

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

8 Quakerbridge PLZ
Mercerville, NJ 08619-1255
Phone (732) 821-5563

9 Centre Dr
Suite 110
Monroe Township, NJ 08831-5153
Phone 73282155631242

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 821-5563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
93.45
Improvement activities
40
Cost
72.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061639MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Radiology Associates, P.a. Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince May 7, 2018 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Toms River Xray CT and MRI Center PA Diagnostic Radiology CurrentSince Feb 19, 2018 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

375 Route 206
Hillsborough, NJ 08844
Phone 73282155631242

3674 State Route 27
#C
Kendall Park, NJ 08824

619 Alexander Rd
Ste 203
Princeton, NJ 08540
Phone (508) 951-4138

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

154 Route 37 W
Toms River, NJ 08755
Phone (732) 244-0777

3 Terry Dr
Ste 101
Newtown, PA 18940
Phone (609) 921-8211

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mdangelo425606@direct.ahsys.org

Organizations & group practices 5

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 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1457493652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5498 SPRINGLAKE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0061639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.