Individual provider Active NPI

Vincent Louis Angeloni, M.D.

  • Dermatopathology Physician
  • Clive, IA
National Provider Identifier
1689671745
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
31988 Issued in IA
Practice address
12327 Stratford Dr
Clive, IA 50325-8148
Phone
(515) 224-7088
Fax
(515) 224-9228
NPI assigned
Jul 5, 2005
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 31988 IA
MOHS-Micrographic Surgery Physician 207ND0101X 31988 IA
Dermatopathology Physician 207ND0900X 31988 IA Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 31988 IA
Pediatric Dermatology Physician 207NP0225X 31988 IA
Procedural Dermatology Physician 207NS0135X 31988 IA

Addresses

Primary practice location

12327 Stratford Dr
Clive, IA 50325-8148

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other identifiers 2

IdentifierTypeStateIssuer
0154724MedicaidIA
070011502OtherIAMEDICARE RAILROAD

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Vincent.Angeloni@forefrontdermatology.emadirect.md
Direct Messaging Address Vincent.Angeloni@forefrontdermatology.emadirect.md
Direct Messaging Address Vincent.Angeloni@forefrontdermatology.emadirect.md
Direct Messaging Address Vincent.Angeloni@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31988IAMDClinical & Laboratory Dermatological Immunology Physician

Interoperability endpoints

  • Direct secure messaging: vincent.angeloni@forefrontdermatology.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1689671745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12327 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258148",
            "telephone_number": "515-224-7088",
            "fax_number": "515-224-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELONI",
        "first_name": "VINCENT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "31988",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IA",
            "license": "31988",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IA",
            "license": "31988",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IA",
            "license": "31988",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IA",
            "license": "31988",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IA",
            "license": "31988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154724",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "070011502",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vincent.Angeloni@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "12327 Stratford Dr",
            "city": "Clive",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503258148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vincent.Angeloni@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "500 Main St Ste 113",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500106083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vincent.Angeloni@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "204 N 4th Ave E",
            "city": "Newton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502083135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vincent.Angeloni@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2785 N Ankeny Blvd Ste 24",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500234705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.