Individual provider Active NPI

Jeffrey L Angel, M.D.

  • Maternal & Fetal Medicine Physician
  • Tampa, FL
National Provider Identifier
1851390462
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME0038567 Issued in FL
Practice address
13601 Bruce B Downs Blvd
Suite 250
Tampa, FL 33613-4657
Phone
(813) 971-6909
Fax
(813) 971-6985
NPI assigned
Jul 15, 2005
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X ME0038567 FL Primary

Addresses

Primary practice location

13601 Bruce B Downs Blvd
Suite 250
Tampa, FL 33613-4657

Mailing address

13601 Bruce B Downs Blvd
Suite 250
Tampa, FL 33613-4657
Phone (813) 971-6909

Other identifiers 1

IdentifierTypeStateIssuer
068807000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090212000639 FL Practitioner - Obstetrics/Gynecology 5799677241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038567FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Maternal & Fetal Medicine CurrentSince Dec 12, 2008 Accepting new patients
DRS Angel Morales Kalter Ramos-Santos Fontenot MDS PA Maternal & Fetal Medicine PastSince Jun 1, 1994 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

5200 Babcock St NE
Ste 301
Palm Bay, FL 32905
Phone (321) 541-5547

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

13601 Bruce B Downs Blvd
Ste 250
Tampa, FL 33613
Phone (813) 291-2623

15310 Amberly Dr
Ste 300
Tampa, FL 33647
Phone (813) 971-6985

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1851390462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134657",
            "telephone_number": "813-971-6909",
            "fax_number": "813-971-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134657",
            "telephone_number": "813-971-6909",
            "fax_number": "813-971-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME0038567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068807000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.