Angelique A Andrews, MD
Individual provider Active NPI Pediatrics Physician · Cedar Rapids, IA
NPI 1720286115 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1720286115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD27938 (AL)
- Practice address
- 1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009 - Phone
- (319) 730-7300
- Fax
- (256) 585-6713
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Washington School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Iowa Health Center
Practice addresses (Care Compare)
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Eastern Iowa Women'S Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jan 1, 2025 Jan 1, 2025 |
| Happi Health |
Federally qualified health center | Corporate Officer | Jun 1, 2010 |
| Happi Health |
Federally qualified health center | Corporate Officer | Jun 1, 2010 |
| Happi Health |
Federally qualified health center | Corporate Officer | Jun 1, 2010 |
| Eastern Iowa Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jan 1, 2025 Jan 1, 2025 |
| Happi Health |
Federally qualified health center | Corporate Officer Other |
Jun 1, 2010 Feb 1, 2020 |
| Eastern Iowa Health Center Optometry |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2025 Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070825000003 | AL | Practitioner - Pediatric Medicine |
8820180573 | Reassigns benefits to 1 organization |
| I20240924004065 | IA | Practitioner - Pediatric Medicine | 8820180573 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27938 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happi Health | Pediatrics | Current |
Accepting new patients |
| Eastern Iowa Health Center | Current | Accepting new patients | |
| Happi Health | Pediatrics | Current |
Accepting new patients |
| Eastern Iowa Health Center | Current |
Accepting new patients | |
| Eastern Iowa Health Center | Pediatrics | Current |
Accepting new patients |
| Happi, Inc. | Pediatrics | Past |
Accepting new patients |
| Happi, Inc. | Past |
Accepting new patients | |
| Happi, Inc. | Past |
Accepting new patients | |
| Happi Inc | Past |
Accepting new patients | |
| Happi Inc | Past |
Accepting new patients |
Locations
813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650
813 Franklin St SE
#B
Huntsville, AL 35801
Phone (256) 519-3650
1225 3rd Ave SE
Cedar Rapids, IA 52403
1030 5th Ave SE
Ste 2400
Cedar Rapids, IA 52403
1201 3rd Ave SE
Cedar Rapids, IA 52403
Phone (319) 730-7343
Interoperability endpoints
- aaandrews@hi-al.direct.office.nextgen.com
- angelique.andrews.1@13071.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD27938 | AL | Yes |
Addresses
Primary practice location
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Mailing address
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118769 | Medicaid | AL | |
| 9750064 | Other | AL | AETNA |
| 051541835 | Other | AL | BCBS |
Other names
- Angelique A Johnson
Other providers in Cedar Rapids, IA
- Megan Lynn Andresen
- Lindsey Andrew
- Noelle Kristin Andrew
- Philip Andrew
- Amber Andrews
- Keri Anne Andrews
- Remi Carrick Andrews
- Angel Nest Care LLC
- Angela Cantrell Fielding Counseling, LLC
- Angelheart Family & Community Health Center
All providers in Cedar Rapids, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.