Active NPI
Ian F Angel, M.D.
- Neurological Surgery Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- J1843
- Practice address
- 2965 Harrison St
Suite 111
Beaumont, TX 77702-1100 - Phone
- (409) 898-7800
- Fax
- (409) 898-3295
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J1843 | TX | |
| Neurological Surgery Physician | 207T00000X | J1843 | TX | Primary |
Addresses
Primary practice location
2965 Harrison St
Suite 111
Beaumont, TX 77702-1100
Mailing address
2965 Harrison St
Suite 111
Beaumont, TX 77702-1100
Phone (409) 898-7800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020HD | Other | TX | GROUP BCBS |
| 5306425 | Other | TX | AETNA |
| 148913001 | Medicaid | TX | |
| 2491021005 | Other | TX | CIGNA |
| 096569104 | Medicaid | TX | |
| 8F3761 | Other | TX | BCBS |
| A002 | Other | TX | TRICARE/CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000724 | TX | Practitioner - Neurosurgery | 2961461124 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Texas Medical School at Houston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Southeast Texas- St Elizabeth
- Christus Jasper Memorial Hospital
- Baptist Beaumont Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Laminectomy or laminotomy (partial removal of spine bones) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1843 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Neurological Surgery | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
2965 Harrison Ave
Ste 111
Beaumont, TX 77702
Phone (409) 898-3295
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- iangel410791@christushealth.direct-ci.net
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Neurological Surgery, TX
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Durable Medical Equipment & Medical Supplies
- New Braunfels, TX
- NPI 1639807548
-
- Rural Health Clinic/Center
- Emory, TX
- NPI 1033641105
-
- Rural Health Clinic/Center
- Canton, TX
- NPI 1134313083
-
- Rural Health Clinic/Center
- Mineola, TX
- NPI 1275727125
-
- Rural Health Clinic/Center
- Hawkins, TX
- NPI 1396939146
-
- Rural Health Clinic/Center
- Quitman, TX
- NPI 1497949341
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1891422192
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1750389151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 HARRISON ST",
"address_2": "SUITE 111",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021100",
"telephone_number": "409-898-7800",
"fax_number": "409-898-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 HARRISON ST",
"address_2": "SUITE 111",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021100",
"telephone_number": "409-898-7800",
"fax_number": "409-898-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "IAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J1843",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "J1843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS",
"identifier": "0020HD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5306425",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148913001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2491021005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096569104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F3761",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "A002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Anesthesia Associates Group PLLC
- Anesthesia Associates Pain Institute PLLC
- Anesthesia Premier Services PA
- Ilse Alejandra Anfoso Valdez, RD
- Angel Care Adult Daycare
- Jane C Angel, MD
- Angela'S Outreach Community Center
- Angela'S Outreach Community Center, Inc
- Sarah Zafar Ansari, MS, CCC-SLP
- Leslie F Anslem, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.