Active NPI
Angelic Shonta Dye, DO
- Emergency Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02008170A
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49444-1849 - Phone
- (231) 672-2000
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02008170A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 036-177589 | IL | |
| Emergency Medicine Physician | 207P00000X | 5101026676 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
1675 Leahy St Ste 315a
Muskegon, MI 49442-5543
Other practice location 1
1700 Clinton St
Muskegon, MI 49442-5502
Phone (231) 726-3511
Other practice location 2
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220930001082 | MI | Practitioner - Emergency Medicine | 3173909025 | Reassigns benefits to 4 organizations |
| I20241219003097 | IN | Practitioner - Emergency Medicine | 3173909025 | Reassigns benefits to 1 organization |
| I20260304000404 | IL | Practitioner - Emergency Medicine | 3173909025 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- William Carey University College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health CenterGrand River Emergency Medical Group PLCVituity-Michigan Health Services PC
Practice addresses (Care Compare)
1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525
2373 64TH St SW
Mercy Health St Mary'S Southwest
Byron Center, MI 49315-7974
Phone (616) 685-3900
411 Naomi St
Plainwell, MI 49080-1222
Phone (269) 685-6811
Hospital & facility affiliations
- Sarah Bush Lincoln Health Center
- Ascension Borgess Lee Hospital
- Mercy Health Saint Mary'S
- Borgess Medical Center
- Beacon Allegan
- Beacon Plainwell
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-177589 | IL | MD | Emergency Medicine Physician |
| 02008170A | IN | MD | Emergency Medicine Physician |
| 5101026676 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Partners | Current | Accepting new patients | |
| Mercy Health Partners | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Grand River Emergency Medical Group PLC | Emergency Medicine | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
555 Linn St
Allegan, MI 49010
Phone (269) 673-8424
2373 64th St SW
Byron Center, MI 49315
Phone (616) 685-1350
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050
Interoperability endpoints
- adye665545@direct.trinity-health.org
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1114929353
Emergency Medicine, MI
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1750102323
Emergency Medicine, MI
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Durable Medical Equipment & Medical Supplies
- Mattoon, IL
- NPI 1215436449
-
- Durable Medical Equipment & Medical Supplies
- Vandalia, IL
- NPI 1386283455
-
- Durable Medical Equipment & Medical Supplies
- Effingham, IL
- NPI 1467951699
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1497868772
-
- Rural Health Clinic/Center
- Vandalia, IL
- NPI 1568500510
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Plainwell, MI
- NPI 1154504892
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1730718784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 315A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441849",
"telephone_number": "231-672-2000"
}
],
"practiceLocations": [
{
"address_1": "1700 Clinton St",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425502",
"country_code": "US",
"telephone_number": "231-726-3511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-258-2551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYE",
"first_name": "ANGELIC",
"middle_name": "SHONTA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02008170A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-177589",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101026676",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.