Active NPI
Michael Richard Deangelis, D.O
- Internal Medicine Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 185967
- Practice address
- 70 Glen St Ste 380
Glen Cove, NY 11542-2858 - Phone
- (516) 674-7074
- Fax
- (516) 674-4768
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 185967 | NY | Primary |
Addresses
Primary practice location
70 Glen St Ste 380
Glen Cove, NY 11542-2858
Mailing address
70 Glen St Ste 380
Glen Cove, NY 11542-2858
Phone (516) 674-7074
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542716 | Other | NY | AETNA |
| P746167 | Other | OXFORD | |
| 01836722 | Medicaid | NY | |
| 185967 | Other | HIP | |
| 44543 | Other | VYTRA | |
| 113517950 | Other | MAGNACARE | |
| 6368053004 | Other | CIGNA | |
| 24044 | Other | NY | ANTHEM |
| 113517950-001 | Other | PRUDENTIAL | |
| 477230 | Other | PHCS | |
| 00000080229 | Other | BETTER HEALTH | |
| 113517950 | Other | MULTIPLAN | |
| 1297667 | Other | UNITED HEALTHCARE | |
| 2599070 | Other | GHI | |
| 2C4152 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 Post Ave
Westbury, NY 11590-3178
Phone (516) 333-9828
2 Medical PLZ
Glen Cove, NY 11542-2108
Phone (516) 671-0858
6 Medical PLZ
Glen Cove, NY 11542-2108
Phone (516) 671-9010
70 Glen St
Suite 380
Glen Cove, NY 11542-2858
Phone (516) 674-7074
Hospital & facility affiliations
- Tender Loving Care, an Amedisys Company
- North Shore Home Care Chha
- Emerest Home Health Care of Long Island
- Catholic Home Care
- Northwell Hospital Glen Cove
- North Shore University Hospital
- St Francis Hospital - the Heart Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.53 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Deangelis DO PC | Internal Medicine | Current | Accepting new patients |
| United Cerebral Palsy Association of Nassau County, Inc. | Current | Accepting new patients | |
| Glen Cove Hospital | Past | Accepting new patients | |
| United Cerebral Palsy Associations of New York State Inc | Past | Accepting new patients |
Locations
8 Medical Plz
Ste 202
Glen Cove, NY 11542
Phone (516) 674-7074
70 Glen St
Ste 380
Glen Cove, NY 11542
Phone (516) 277-1153
380 Washington Ave
Roosevelt, NY 11575
Phone (516) 375-2000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Glen Cove, NY
- NPI 1346498714
-
- Clinic/Center
- Roosevelt, NY
- NPI 1720009715
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- Mental Illness Intermediate Care Facility
- Bayville, NY
- NPI 1144806290
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
-
- Home Health Agency
- Carle Place, NY
- NPI 1932262383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1609962539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 GLEN ST STE 380",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422858",
"telephone_number": "516-674-7074",
"fax_number": "516-674-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GLEN ST STE 380",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422858",
"telephone_number": "516-674-7074",
"fax_number": "516-674-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "185967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "542716",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P746167",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01836722",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "185967",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "44543",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "113517950",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6368053004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "24044",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "113517950-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "477230",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HEALTH",
"identifier": "00000080229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "113517950",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1297667",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2599070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C4152",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.