Individual provider Active NPI

Angelica Sandoval Balingit, MD

  • Internal Medicine Physician
  • Denison, TX
National Provider Identifier
1861436040
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R7655 Issued in TX
Practice address
5012 S US Highway 75 Ste 300
Denison, TX 75020-4589
Phone
(903) 416-6015
Fax
(903) 416-6132
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BB5224794 TX
Internal Medicine Physician 207R00000X 4446 AK
Internal Medicine Physician 207R00000X R7655 TX Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 300
Denison, TX 75020-4589

Mailing address

4812 Indio LN
Sherman, TX 75092-4049
Phone (903) 416-6015

Other practice location 1

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 729-1500

Other identifiers 1

IdentifierTypeStateIssuer
AK4446MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120816000538 TX Practitioner - Internal Medicine 7911891478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2636MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Aug 27, 2012 Accepting new patients
The Health Depot Past Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients

Locations

3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1500

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1861436040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 INDIO LN",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924049",
            "telephone_number": "903-416-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6015",
            "fax_number": "903-416-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Ambassador Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085922",
            "country_code": "US",
            "telephone_number": "907-729-1500",
            "fax_number": "907-729-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALINGIT",
        "first_name": "ANGELICA",
        "middle_name": "SANDOVAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BB5224794",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "4446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AK4446",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.