Active NPI
Vincent Louis Angeloni, M.D.
- Dermatopathology Physician
- Clive, IA
National Provider Identifier
1689671745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 31988
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154724 | Medicaid | IA | |
| 070011502 | Other | IA | MEDICARE RAILROAD |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31988 | IA | MD | Clinical & Laboratory Dermatological Immunology Physician |
Interoperability endpoints
- 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.