Angela I Pellegrini, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13-0001335 Issued in DE

Practice address

3501 Silverside Road
Wilmington, DE 19810-4910

Phone

(302) 479-3937

Fax

(302) 477-2650

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor of Eyeballs LLCGroup PAC ID 9537482757, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apellegrini@doc1004.srs-direct.com

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.

• Doctor of Eyeballs, LLC

  • Optometrist
  • Conshohocken, PA
  • NPI 1467860155
  Medicare reassignment Care Compare group NPD
• Delaware Ophthalmology Consultants PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1467496638

  Optometrist

  Medicare reassignment NPD
• Delaware Ophthalmology Consultants PA

  dba DOC Optical Center

  • Eyewear Supplier
  • Middletown, DE
  • NPI 1043659873

  Optometrist

  NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1841453495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "ANGELA",
        "middle_name": "I",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002080",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "13-0001335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "172937D57",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen L. Peeke, APN
• Wasif Peerzada
• Terri Peffley
• Alisha Pehlert
• Judy Pelham
• Ashley Peloso
• Anthony Ray Pendleton Jr., MD
• Jennifer S. Pendley, PHD
• Scott H. Penfil, MD
• Peninsula Medical Associates, LLC

• Optometrist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.

Verify at the official NPI Registry.