Individual provider Active NPI

Angela Maria Paniagua Vega, MD

  • Family Medicine Physician
  • Oro Valley, AZ
National Provider Identifier
1790933877
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43541 Issued in AZ
Practice address
10425 N Oracle Rd Ste 105
Oro Valley, AZ 85737-9360
Phone
(520) 544-7644
Fax
(520) 544-0548
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43541 AZ Primary

Addresses

Primary practice location

10425 N Oracle Rd Ste 105
Oro Valley, AZ 85737-9360

Mailing address

PO Box 43160
Tucson, AZ 85733-3160

Other identifiers 1

IdentifierTypeStateIssuer
564225MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101209000923 AZ Practitioner - Family Practice 1557558053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Medical PLLCGroup PAC ID 5395987135, 2 clinicians

Practice addresses (Care Compare)

10425 N Oracle Rd
Suite 105
Oro Valley, AZ 85737-9360
Phone (520) 544-7644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43541AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Medical, PLLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

10425 N Oracle Rd
Ste 105
Tucson, AZ 85737
Phone (520) 544-7644

Interoperability endpoints

  • Direct secure messaging: angela.paniagua-vega.1@14379.direct.athenahealth.com

Organizations & group practices 1

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1790933877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 N ORACLE RD STE 105",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379360",
            "telephone_number": "520-544-7644",
            "fax_number": "520-544-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIAGUA VEGA",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564225",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.