Individual provider Active NPI

Angelo S Ferraro, MD

  • Cardiovascular Disease Physician
  • Spokane, WA
National Provider Identifier
1740236405
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00031032 Issued in WA
Practice address
122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349
Phone
(509) 838-7711
Fax
(509) 747-4664
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD31032 WA
Cardiovascular Disease Physician 207RC0000X M6726 ID
Cardiovascular Disease Physician 207RC0000X MD28849 OR
Interventional Cardiology Physician 207RI0011X M6726 ID
Interventional Cardiology Physician 207RI0011X MD28849 OR
Cardiovascular Disease Physician 207RC0000X MD00031032 WA Primary
Interventional Cardiology Physician 207RI0011X MD28849 WA

Addresses

Primary practice location

122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349

Mailing address

122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349
Phone (509) 838-7711

Other identifiers 1

IdentifierTypeStateIssuer
003213000MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040510001341 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345239877 Reassigns benefits to 3 organizations
I20090701000621 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345239877 Reassigns benefits to 1 organization
I20110927000180 ID Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345239877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, shared by 46 NPIs, 2,312 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

406 S 30TH Ave
Suite 101
Yakima, WA 98902-3713
Phone (509) 248-7715

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (509) 755-5500

605 E Holland Ave
Spokane, WA 99218-1246

910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500

980 W Ironwood Dr
Suite 205
Coeur D Alene, ID 83814-2668
Phone (208) 765-2610

Hospital & facility affiliations

  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119
  • Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6726IDMDCardiovascular Disease Physician
MD31032WAMDCardiovascular Disease Physician
MD28849WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Apr 1, 2021 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Dec 7, 2024 Accepting new patients
St Joseph Hospital LLC CurrentSince Feb 4, 2019 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Dec 7, 2024 Accepting new patients
Multicare Health System CurrentSince Aug 17, 2020 Accepting new patients
Multicare Health System CurrentSince Aug 17, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Multicare Health System CurrentSince Aug 17, 2020 Accepting new patients
Multicare Health System CurrentSince Aug 17, 2020 Accepting new patients
Northwest Cardiac and Vascular Imaging, LLC PastSince Nov 1, 2004 Accepting new patients
Multicare Health System Past Accepting new patients
Spokane Valley Family Medicine P.S. Past Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

910 W 5th Ave
Ste 900
Spokane, WA 99204
Phone (509) 530-5838

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

406 S 30th Ave
Ste 101
Yakima, WA 98902
Phone (509) 248-7715

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1740236405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-838-7711",
            "fax_number": "509-747-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-838-7711",
            "fax_number": "509-747-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "ANGELO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD31032",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M6726",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD28849",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M6726",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD28849",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00031032",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD28849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003213000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.