Active NPI
Angela Maria Calle, M.D.
- Family Medicine Physician
- Annapolis, MD
National Provider Identifier
1841291754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0041479
- Practice address
- 129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566 - Phone
- (410) 266-5852
- Fax
- (410) 266-5095
- NPI assigned
- Aug 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0041479 | MD | Primary |
Addresses
Primary practice location
129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566
Mailing address
1111 Benfield Blvd
Suite 200
Millersville, MD 21108-3002
Phone (410) 729-5100
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012770 | Other | MD | JHHC PROVIDER NUMBER |
| 1328215 | Other | MD | CIGNA PIN NUMBER |
| 4567306 | Other | MD | AETNA FEE FOR SERVICE |
| 835475 | Other | MD | MAMSI PRIMARY CARE |
| 084431400 | Medicaid | MD | |
| 80083143 | Other | MD | RAILROAD MEDICARE |
| 0460833 | Other | MD | AETNA CAPITATED |
| 523131-06 | Other | MD | CAREFIRST RENDERING |
| 7605-0012 | Other | MD | CAREFIRST BLUECHOICE |
| P11964 | Other | MH | CAREFIRST MPOS |
| 235475 | Other | MD | MAMSI SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0041479 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1841291754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD",
"address_2": "SUITE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083002",
"telephone_number": "410-729-5100",
"fax_number": "410-729-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 LUBRANO DR",
"address_2": "SUITE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017566",
"telephone_number": "410-266-5852",
"fax_number": "410-266-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLE",
"first_name": "ANGELA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0041479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PROVIDER NUMBER",
"identifier": "012770",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN NUMBER",
"identifier": "1328215",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA FEE FOR SERVICE",
"identifier": "4567306",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PRIMARY CARE",
"identifier": "835475",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084431400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "80083143",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAPITATED",
"identifier": "0460833",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST RENDERING",
"identifier": "523131-06",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "7605-0012",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MPOS",
"identifier": "P11964",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI SPECIALIST",
"identifier": "235475",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.