Active NPI
Angela E Asom, MD
- Pediatrics Physician
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35C.003939
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7291507 | Medicaid | NJ | |
| L8604 | Other | TX | TX LICENSE |
| 001632389 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, ND, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA69683 | NJ | MD | Pediatrics Physician |
| 35C.003939 | OH | MD | Pediatrics Physician |
| L8604 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Angel Pediatrics P.a. | Pediatrics | Past | 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
- 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.
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
dba CHI St Alexius Health Dickinson
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
dba CHI St. Alexius Health Beach Family Clinic
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
- Pediatrics Physician
- Allen, TX
- NPI 1205071206
-
dba University Medical Center
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
dba Carlsbad Medical Center
- General Acute Care Hospital
- Carlsbad, NM
- NPI 1790722346
-
- Federally Qualified Health Center (FQHC)
- Beulah, ND
- NPI 1942288329
-
- Rural Acute Care Hospital
- Dickinson, ND
- NPI 1508896861
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
- Reagan Ashworth
- Asic Recovery Services LLC (Neighbors Counseling IOP)
- Samreen Asif
- Victoria Marie Askew Flores, PT, DPT
- Muruts Asmelash
- At Home Support Network LLC (The Caregivers Homecare Services)
- Athena Wellness Consultants LLC
- Athletico LTD (Athletico Physical Therapy)
- Athome Patient Monitoring Inc
- Asma Attili, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.