Individual provider Active NPI

Jacqueline Angel, M.D.

  • Neuroradiology Physician
  • Germantown, TN
National Provider Identifier
1700220050
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
54033 Issued in TN
Practice address
7695 Poplar Pike Ste 101
Germantown, TN 38138-5947
Phone
(901) 685-2696
Fax
(901) 682-9747
NPI assigned
Apr 17, 2013
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 24336 MS
Neuroradiology Physician 2085N0700X 010228 GA
Neuroradiology Physician 2085N0700X 54033 TN Primary
Diagnostic Radiology Physician 2085R0202X 54033 TN
Diagnostic Radiology Physician 2085R0202X 24336 MS

Addresses

Primary practice location

7695 Poplar Pike Ste 101
Germantown, TN 38138-5947

Mailing address

7695 Poplar Pike Ste 101
Germantown, TN 38138-5947
Phone (901) 685-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20190618003514 TN Practitioner - Diagnostic Radiology 3173762226 Reassigns benefits to 2 organizations
I20190619002282 MS Practitioner - Diagnostic Radiology 3173762226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7600

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children's Research Hospital, Inc. CurrentSince Jan 25, 2021 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients

Locations (25 of 27)

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

103 Halls Cv
Senatobia, MS 38668
Phone (662) 562-9003

3674 Goodman Rd E
#E
Southaven, MS 38672

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

1377 S Germantown Rd
Germantown, TN 38138
Phone (901) 516-6792

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1801 Union Ave
Memphis, TN 38104
Phone (901) 516-6792

1803 Union Ave
Ste 2
Memphis, TN 38104
Phone (901) 722-3136

225 S Claybrook St
Memphis, TN 38104
Phone (901) 516-2152

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5766

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

6401 Poplar Ave
Ste 100
Memphis, TN 38119
Phone (901) 387-2340

6401 Poplar Ave
Ste 505
Memphis, TN 38119
Phone (901) 682-0423

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

7695 Poplar Pike
Ste 101
Memphis, TN 38138

7710 Wolf River Cir
Memphis, TN 38138
Phone (901) 685-5969

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

Interoperability endpoints

  • Direct secure messaging: jangel26787@mlh.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1700220050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 POPLAR PIKE STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385947",
            "telephone_number": "901-685-2696",
            "fax_number": "901-682-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 POPLAR PIKE STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385947",
            "telephone_number": "901-685-2696",
            "fax_number": "901-682-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MS",
            "license": "24336",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "010228",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "54033",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "54033",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "24336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.