Individual provider Active NPI

Angela E Asom, MD

  • Pediatrics Physician
  • Allen, TX
National Provider Identifier
1497762629
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35C.003939 Issued in OH
Practice address
717 S Greenville Ave
Ste 104
Allen, TX 75002-3317
Phone
(972) 396-1900
Fax
(972) 396-1901
NPI assigned
Aug 1, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8604 TX
Pediatrics Physician 208000000X MD058635L PA
Pediatrics Physician 208000000X MD2023-1277 NM
Pediatrics Physician 208000000X 35C.003939 OH Primary
Pediatrics Physician 208000000X MA69683 NJ

Addresses

Primary practice location

717 S Greenville Ave
Ste 104
Allen, TX 75002-3317

Mailing address

421 Palomino Way
Fairview, TX 75069-1531
Phone (469) 585-7721

Other practice location 1

2213 Cherry St Fl 6
Toledo, OH 43608-2603
Phone (419) 251-3232

Other identifiers 3

IdentifierTypeStateIssuer
7291507MedicaidNJ
L8604OtherTXTX LICENSE
001632389MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, ND, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240717001203 NM Practitioner - Pediatric Medicine 7618138801 Reassigns benefits to 1 organization
I20250905002837 ND Practitioner - Pediatric Medicine 7618138801 Reassigns benefits to 2 organizations
I20260618001858 OH Practitioner - Pediatric Medicine 7618138801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2691

4265 45TH St S
Suite 200
Fargo, ND 58104-4309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69683NJMDPediatrics Physician
35C.003939OHMDPediatrics Physician
L8604TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Health Center CurrentSince Jul 22, 2025 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Jul 9, 2024 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Angel Pediatrics P.a. Pediatrics PastSince Dec 10, 2023 Accepting new patients
St Josephs Hospital and Health Center Past Accepting new patients
Carlsbad Medical Center LLC Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Coal Country Community Health Center Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

Interoperability endpoints

  • Direct secure messaging: angela.asom.1@1739.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1497762629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PALOMINO WAY",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750691531",
            "telephone_number": "469-585-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S GREENVILLE AVE",
            "address_2": "STE 104",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023317",
            "telephone_number": "972-396-1900",
            "fax_number": "972-396-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASOM",
        "first_name": "ANGELA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8604",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD058635L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2023-1277",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35C.003939",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA69683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7291507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "L8604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001632389",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.