Individual provider Active NPI

Anthony John Angelone, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1710483623
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-01922 Issued in NC
Practice address
1550 Tomcat Blvd Ste 150
Virginia Beach, VA 23460-2188
Phone
(757) 953-3852
NPI assigned
Apr 1, 2018
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019-01922 NC Primary

Addresses

Primary practice location

1550 Tomcat Blvd Ste 150
Virginia Beach, VA 23460-2188

Mailing address

1550 Tomcat Blvd Ste 150
Virginia Beach, VA 23460-2188
Phone (757) 953-3852

Other identifiers 1

IdentifierTypeStateIssuer
2019-01922OtherNCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190823002967 NC Order and Referring Only - Family PracticePractitioner - Family Practice 0840528139

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1710483623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602188",
            "telephone_number": "757-953-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602188",
            "telephone_number": "757-953-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELONE",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-01922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2019-01922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.