David Anjelly, M.D.
Individual provider Active NPI Gastroenterology Physician · Santa Cruz, CA
NPI 1629338603 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1629338603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- A162284 (CA)
- Practice address
- 1595 Soquel Dr Ste 350
Santa Cruz, CA 95065-1723 - Phone
- (831) 430-7130
- Fax
- (831) 475-1187
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
1595 Soquel Dr
Suite 140
Santa Cruz, CA 95065-1717
Phone (831) 462-4444
Hospital & facility affiliations
- Dominican Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 283 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 238 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190926003244 | CA | Practitioner - Gastroenterology | 8022235563 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A162284 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
1595 Soquel Dr
Ste 210
Santa Cruz, CA 95065
Phone (831) 430-7130
1595 Soquel Dr
Ste 350
Santa Cruz, CA 95065
Phone (831) 427-7110
1595 Soquel Dr
Ste 140
Santa Cruz, CA 95065
Phone (831) 462-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A162284 | CA | Yes |
Addresses
Primary practice location
1595 Soquel Dr Ste 350
Santa Cruz, CA 95065-1723
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other providers in Santa Cruz, CA
- Eliza Nichole Angila
- Lisset Angulo Lupercio
- Jayda Rose Angulo
- Janelle Renee Anhorn
- David Anish
- Anna Paganelli, Ma, MFT
- Annabelle Drda Marriage and Family Therapy Inc
- Robert Annon
- Jeremy Scott Anthony
- Shemika Anthony
All providers in Santa Cruz, CA · Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.