Individual provider Active NPI

Angela Lily Du, MD

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1689164022
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
66802 Issued in AZ
Practice address
4747 N 7TH St
Phoenix, AZ 85014-3653
Phone
(602) 240-2401
Fax
(602) 792-0244
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 66802 AZ Primary

Addresses

Primary practice location

4747 N 7TH St
Phoenix, AZ 85014-3653

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220728002902 AZ Practitioner - Obstetrics/Gynecology 2264789122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Women's Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

4747 N 7TH St
Suite 150
Phoenix, AZ 85014-3677
Phone (602) 240-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Arizona, LLC CurrentSince Jan 3, 2025 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

Interoperability endpoints

  • Direct secure messaging: angela.du.1@14294.direct.athenahealth.com
  • Direct secure messaging: angela.du@wcfnf.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1689164022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143653",
            "telephone_number": "602-240-2401",
            "fax_number": "602-792-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373360",
            "country_code": "US",
            "telephone_number": "623-936-1780",
            "fax_number": "623-936-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU",
        "first_name": "ANGELA",
        "middle_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "66802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.