Amelia Casandra Fritzi St Ange, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME166119 Issued in FL

Practice address

4998 10TH Ave N
Greenacres, FL 33463-2210

Phone

(561) 293-2900

Fax

(561) 412-5554

NPI assigned

Apr 25, 2020

Reactivated

Feb 2, 2022

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dedicated Senior Medical Center of Florida, LLCGroup PAC ID 4486932100, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment Care Compare group NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1881214245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ANGE",
        "first_name": "AMELIA",
        "middle_name": "CASANDRA FRITZI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Spangler, LMHC
• Spine Institute, P.a.
• Minerva Spiro
• Squareone Consultings LLC
• Ssync Government Services
• Joaniste St-Hilaire, D.C.
• St. Clairs Counseling Servicers LLC.
• Kendrick A St.Rose
• Stay Well LLC (Stay Well Pediatric Center)
• Richard Alan Steinfeld, DMD

• Internal Medicine Physician in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.