Michael J D'Angelo, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

29192 Issued in AZ

Practice address

1000 Ainsworth Dr
Suite 115
Prescott, AZ 86305-1667

Phone

(928) 778-1971

Fax

(928) 443-8473

NPI assigned

Sep 26, 2005

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 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 2

Specialty

Diagnostic Radiology

Education

University of Texas Southwestern Medical School at Dallas, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yavapai Community Hospital AssociationGroup PAC ID 6608777024, 22 clinicians

Prescott Radiologists LLPGroup PAC ID 4082699947, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
• City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138
• Exceptional Community Hospital Prescott Hospital, Prescott, AZ, CCN 030196
• Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prescott Radiologists LLP

  dba Prescott Imaging Center

  • Specialist
  • Prescott, AZ
  • NPI 1689636243

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Medicare reassignment Care Compare group NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  Medicare reassignment NPD
• Yavapai Pathology Associates PLC

  • Anatomic Pathology Physician
  • Prescott, AZ
  • NPI 1841234184
  NPD
• Yrmc Hospice

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1467409219
  NPD
• Broussard Family Practice, PLLC

  • Specialist
  • Beaumont, TX
  • NPI 1710320908
  NPD (past)

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

• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870
  Care Compare affiliation
• Exceptional Health Care Prescott LLC

  • Special Hospital
  • Prescott, AZ
  • NPI 1396452108
  Care Compare affiliation
• Western Regional Medical Center Inc

  dba Western Regional Medical Center Retail Pharmacy

  • Community/Retail Pharmacy
  • Goodyear, AZ
  • NPI 1710138037

  Hospital

  Care Compare affiliation
• Western Regional Medical Center, Inc.

  dba City of Hope Cancer Center Arizona

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1508029422
  Care Compare affiliation
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1669468526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR",
            "address_2": "SUITE 115",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051667",
            "telephone_number": "928-778-1971",
            "fax_number": "928-443-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR",
            "address_2": "SUITE 115",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051667",
            "telephone_number": "928-778-1971",
            "fax_number": "928-443-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K1996",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Louise Curry
• Bob Curry, PHARMD
• CVS
• CVS
• D & P Hearing Inc.
• Puneet Dabas, M.D.
• William B. Dabney, M.D.
• Wallace Arnold Dachenhausen, D.D.S.
• Nicole Dahl-Lowe, APRN-FNP-BC
• Stephen William Dahn, M.D.

• Specialist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.