Individual provider Active NPI

Angela Maryann Pansera, D.O.

  • Diagnostic Radiology Physician
  • Clinton, MD
National Provider Identifier
1568613909
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C2-0008725 Issued in DE
Practice address
7801 Old Branch Ave
Ste 300
Clinton, MD 20735-1608
Phone
(301) 856-6718
Fax
(301) 856-6722
NPI assigned
Oct 3, 2008
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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 C2-0008725 DE Primary

Addresses

Primary practice location

7801 Old Branch Ave
Ste 300
Clinton, MD 20735-1608

Mailing address

8926 Woodyard Rd
Ste 301
Clinton, MD 20735-4220
Phone (301) 856-6718

Other identifiers 2

IdentifierTypeStateIssuer
1568613909MedicaidVA
447817700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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
I20121109000225 DC Practitioner - Diagnostic Radiology 6709037294 Reassigns benefits to 3 organizations
I20121115000163 MD Practitioner - Diagnostic Radiology 6709037294 Reassigns benefits to 4 organizations
I20130219000319 VA Practitioner - Diagnostic Radiology 6709037294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers School of Dental Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0008725DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 18, 2020 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Jan 4, 2022 Accepting new patients
Ifrc, LLC CurrentSince Sep 1, 2020 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 18, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

8926 Woodyard Rd
Ste 401
Clinton, MD 20735
Phone (301) 856-2420

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

3280 Urbana Pike
Ste 105
Ijamsville, MD 21754

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Interoperability endpoints

  • Direct secure messaging: apansera240857@soc.inova.org

Organizations & group practices 8

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1568613909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "STE 301",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-856-6718",
            "fax_number": "301-856-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "STE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-6718",
            "fax_number": "301-856-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSERA",
        "first_name": "ANGELA",
        "middle_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C2-0008725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568613909",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447817700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.