Individual provider Active NPI

Samantha Arlene Diangelus

  • Family Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1730717653
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS022594 Issued in PA
Practice address
210 Mall Blvd Ste 210
King of Prussia, PA 19406-3261
Phone
(610) 265-0726
Fax
(610) 265-1132
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS022594 PA Primary

Addresses

Primary practice location

210 Mall Blvd Ste 210
King of Prussia, PA 19406-3261

Mailing address

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230802003728 PA Practitioner - Family Practice 3577924851 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

210 Mall Blvd
Suite 102
King of Prussia, PA 19406-3260
Phone (610) 265-0726

217 Reeceville Rd
Suite a
Coatesville, PA 19320-1572
Phone (610) 269-9448

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS022594PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. Family Medicine CurrentSince Oct 7, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Pentahealth, LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Sep 4, 2023 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 4, 2023 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Fornance Physician Services, Inc. Family Medicine PastSince May 11, 2025 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

217 Reeceville Rd
Ste A
Coatesville, PA 19320
Phone (610) 269-9448

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

210 Mall Blvd
Ste 210
King of Prussia, PA 19406
Phone (610) 265-0726

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1260 E Woodland Ave
Ste 200
Springfield, PA 19064
Phone (610) 690-4471

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1730717653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALL BLVD STE 210",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063261",
            "telephone_number": "610-265-0726",
            "fax_number": "610-265-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANGELUS",
        "first_name": "SAMANTHA",
        "middle_name": "ARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS022594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.