NPIMap

Individual provider Active NPI

Amy Chen Santangelo, MD

  • Internal Medicine Physician
  • Fort Bragg, NC
National Provider Identifier
1841254711
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
009901144 Issued in NC
Practice address
2817 Reilly St
Fort Bragg, NC 28310-7301
Phone
(910) 907-7827
Fax
(910) 396-7559
NPI assigned
Apr 17, 2006
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009901144 NC Primary

Addresses

Primary practice location

2817 Reilly St
Fort Bragg, NC 28310-7301

Mailing address

2817 Reilly Rd
Womack Army Medical Center Mexc-Cod Credentials
Fort Bragg, NC 28310
Phone (910) 907-7827

Other identifiers 1

IdentifierTypeStateIssuer
8912650MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000996 NC Practitioner - Internal Medicine 6507006111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Arts Family Practice PAGroup PAC ID 3072580182, 5 clinicians

Practice addresses (Care Compare)

413 Owen Dr
Suite 201
Fayetteville, NC 28304-3490
Phone (910) 323-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
88.98
Promoting interoperability
100
Improvement activities
40
Cost
87.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009901144NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Family Practice, PA CurrentSince Dec 1, 2022 Accepting new patients
Cape Fear Valley Health Medical Group LLC Internal Medicine PastSince Dec 1, 2022 Accepting new patients

Locations

413 Owen Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 323-9111

Organizations & group practices 2

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1841254711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY RD",
            "address_2": "WOMACK ARMY MEDICAL CENTER MEXC-COD CREDENTIALS",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-7827",
            "fax_number": "910-396-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107301",
            "telephone_number": "910-907-7827",
            "fax_number": "910-396-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "AMY",
        "middle_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "009901144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912650",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.