NPIMap

Individual provider Active NPI

Veronica Carolina Angulo Diaz, M.D

  • Internal Medicine Physician
  • Havertown, PA
National Provider Identifier
1871848671
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD486417 Issued in PA
Practice address
301 W Chester Pike Ste 201
Havertown, PA 19083-4530
Phone
(610) 853-2900
Fax
(610) 853-2980
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD486417 PA Primary

Addresses

Primary practice location

301 W Chester Pike Ste 201
Havertown, PA 19083-4530

Mailing address

301 W Chester Pike Ste 201
Havertown, PA 19083-4530
Phone (610) 853-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220406001821 FL Practitioner - Internal Medicine 6103145990 Reassigns benefits to 1 organization
I20241010001772 PA Practitioner - Internal Medicine 6103145990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

301 W Chester Pike
Havertown, PA 19083-4530
Phone (610) 853-2900

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486417PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma CurrentSince Sep 24, 2024 Accepting new patients
Penn Medicine-Pma Internal Medicine Current Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Mar 28, 2022 Accepting new patients
Penn Medicine-Pma CurrentSince Sep 24, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Past Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

5709 Gunn Hwy
Ste A
Tampa, FL 33625

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

301 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 853-2900

301 W Chester Pike
Havertown, PA 19083
Phone (610) 446-6900

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1871848671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W CHESTER PIKE STE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834530",
            "telephone_number": "610-853-2900",
            "fax_number": "610-853-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W CHESTER PIKE STE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834530",
            "telephone_number": "610-853-2900",
            "fax_number": "610-853-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO DIAZ",
        "first_name": "VERONICA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD486417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.