Active NPI
Angela Derobertis, MD
- Radiation Oncology Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD066735L
- Practice address
- 1703 Innovation Dr Ste 100
York, PA 17408-8815 - Phone
- (717) 801-0742
- NPI assigned
- Nov 2, 2005
- Last updated
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD066735L | PA | Primary |
| Radiation Oncology Physician | 2085R0001X | 13785 | RI | |
| Radiation Oncology Physician | 2085R0001X | 223387 | MA |
Addresses
Primary practice location
1703 Innovation Dr Ste 100
York, PA 17408-8815
Mailing address
1703 Innovation Dr Ste 100
York, PA 17408-8815
Phone (717) 801-0742
Other practice location 1
50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2690
Other practice location 2
4300 Londonderry Rd Lowr Level
Harrisburg, PA 17109-5317
Phone (717) 724-6740
Other practice location 3
2035 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9422
Phone (717) 724-6740
Other practice location 4
25 Sprint Dr
Carlisle, PA 17015-7696
Phone (717) 960-3750
Other practice location 5
310 Stock St Ste 5
Hanover, PA 17331-2276
Phone (717) 316-2163
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008002446 | Medicaid | CT | |
| 2093723 | Medicaid | MA | |
| 470043 | Other | MA | TUFTS HEALTH PLAN |
| P01332041 | Other | RI | RR MEDICARE |
| AK55342 | Medicaid | RI | |
| P01334694 | Other | RI | RR MEDICARE |
| J28326 | Other | MA | BCBS MA |
| 8983518 | Other | RI | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aderobertis207628@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Radiation Oncology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623
1703 Innovation Dr
York, PA 17408-8815
2035 Technology Pkwy
Mechanicsburg, PA 17050-9422
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
409 S 2ND St
Harrisburg, PA 17104-1612
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223387 | MA | MD | Radiation Oncology Physician |
| MD066735L | PA | MD | Radiation Oncology Physician |
| 13785 | RI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Upmc Hillman Cancer Center-Pinnacle | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Radiation Oncology Services of Rhode Island, LLC | Past | Accepting new patients | |
| Radiation Oncology Associates of Washington, PC | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Radiation Oncology | Past | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767
310 Stock St
Ste 5
Hanover, PA 17331
Phone (717) 316-2163
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
2035 Technology Pkwy
Ste 100
Mechanicsburg, PA 17050
Phone (717) 724-6740
1703 Innovation Dr
Ste 100
York, PA 17408
Phone (717) 724-6740
1703 Innovation Dr
Ste 2001
York, PA 17408
Phone (717) 801-0739
Interoperability endpoints
- aderobertis19363@upmc.direct-ci.com
- angela.derobertis@directaddress.net
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Hematology & Oncology Physician
- Camp Hill, PA
- NPI 1275163362
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba PH Cardiovascular and Thoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Harrisburg, PA
- NPI 1992029375
-
dba Breast Health Associates
- Surgery Physician
- Lancaster, PA
- NPI 1285163758
-
dba PinnacleHealth Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
-
dba PinnacleHealth Radiation Oncology
- Radiation Oncology Physician
- Harrisburg, PA
- NPI 1558707935
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Specialist
- Washington, DC
- NPI 1265413850
-
dba Maddock Center for Radiation Oncology
- Radiation Oncology Clinic/Center
- Warwick, RI
- NPI 1093861858
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1669463279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 INNOVATION DR STE 100",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-801-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 INNOVATION DR STE 100",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-801-0742"
}
],
"practiceLocations": [
{
"address_1": "50 Maude St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084325",
"country_code": "US",
"telephone_number": "401-456-2690",
"fax_number": "401-456-6540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 Londonderry Rd Lowr Level",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171095317",
"country_code": "US",
"telephone_number": "717-724-6740",
"fax_number": "717-724-6741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2035 Technology Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170509422",
"country_code": "US",
"telephone_number": "717-724-6740",
"fax_number": "717-724-6741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Sprint Dr",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170157696",
"country_code": "US",
"telephone_number": "717-960-3750",
"fax_number": "717-960-3734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Stock St Ste 5",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173312276",
"country_code": "US",
"telephone_number": "717-316-2163",
"fax_number": "717-316-1653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEROBERTIS",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD066735L",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "RI",
"license": "13785",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MA",
"license": "223387",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008002446",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2093723",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "470043",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01332041",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AK55342",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01334694",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J28326",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8983518",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aderobertis207628@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1703 Innovation Dr Ste 100",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174088815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.