Individual provider Active NPI

Angela Derobertis, MD

  • Radiation Oncology Physician
  • York, PA
National Provider Identifier
1669463279
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD066735L Issued in PA
Practice address
1703 Innovation Dr Ste 100
York, PA 17408-8815
Phone
(717) 801-0742
NPI assigned
Nov 2, 2005
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008002446MedicaidCT
2093723MedicaidMA
470043OtherMATUFTS HEALTH PLAN
P01332041OtherRIRR MEDICARE
AK55342MedicaidRI
P01334694OtherRIRR MEDICARE
J28326OtherMABCBS MA
8983518OtherRICIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728003555 PA Practitioner - Radiation Oncology 0143278721 Reassigns benefits to 3 organizations

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
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Upmc Hillman Cancer Center-PinnacleGroup PAC ID 4284044934, 42 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
223387MAMDRadiation Oncology Physician
MD066735LPAMDRadiation Oncology Physician
13785RIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Aug 1, 2021 Accepting new patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Aug 1, 2021 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 2, 2021 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 2, 2021 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 PastSince Oct 17, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc PastSince Feb 6, 2025 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

  • Direct secure messaging: aderobertis19363@upmc.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.