Individual provider Active NPI

Angela Tracy Farrell, MD

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1871814194
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40668 Issued in IA
Practice address
3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone
(319) 384-7000
Fax
(319) 467-7400
NPI assigned
Jun 21, 2010
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8880 IA
Family Medicine Physician 207Q00000X 40668 IA Primary

Addresses

Primary practice location

3640 Middlebury Rd
Iowa City, IA 52245-2712

Mailing address

200 Hawkins Dr
Dept of Family Medicine
Iowa City, IA 52242-1007
Phone (319) 384-7000

Other practice location 1

200 Hawkins Dr
Dept of Family Medicine
Iowa City, IA 52242-1007
Phone (319) 384-7000

Other practice location 2

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7472

Other names 1

  • Angela Tracy Schacht Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20131009001956 IA Practitioner - Family Practice 4385881028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8880IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Aug 20, 2013 Accepting new patients
State University of Iowa Family Medicine CurrentSince Aug 20, 2013 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

Interoperability endpoints

  • Direct secure messaging: afarrell14712@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1871814194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF FAMILY MEDICINE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421007",
            "telephone_number": "319-384-7000",
            "fax_number": "319-467-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MIDDLEBURY RD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452712",
            "telephone_number": "319-384-7000",
            "fax_number": "319-467-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Dept of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421007",
            "country_code": "US",
            "telephone_number": "319-384-7000",
            "fax_number": "319-384-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-339-7472",
            "fax_number": "319-467-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ANGELA",
        "middle_name": "TRACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R8880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SCHACHT",
            "middle_name": "TRACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.