Individual provider Active NPI

Angela Keon, MD

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1891906368
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111729 Issued in FL
Practice address
100 Madrid Blvd Unit 311
Punta Gorda, FL 33950-7906
Phone
(941) 205-8755
Fax
(941) 205-8762
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME111729 FL Primary

Addresses

Primary practice location

100 Madrid Blvd Unit 311
Punta Gorda, FL 33950-7906

Mailing address

100 Madrid Blvd Unit 311
Punta Gorda, FL 33950-7906
Phone (941) 205-8755

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
I20131003000563 FL Practitioner - Internal Medicine 1759515893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Madrid Blvd
Unit 311
Punta Gorda, FL 33950-7906
Phone (941) 205-8755

Hospital & facility affiliations

  • Sarasota Home Health Care Agency LLC Home health agency, Osprey, FL, CCN 109119

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

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
ME111729FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Health of Charlotte PA Single Specialty CurrentSince Oct 15, 2013 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Angela Keon MD LLC Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Millennium Physician Group LLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients

Locations

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

713 E Marion Ave
Ste 1211
Punta Gorda, FL 33950
Phone (941) 505-2100

100 Madrid Blvd
Unit 311
Punta Gorda, FL 33950
Phone (941) 205-8755

1107 W Marion Ave
Unit 116
Punta Gorda, FL 33950
Phone (941) 637-1076

Interoperability endpoints

  • Direct secure messaging: angela.keon@angelakeonmdllc.directbygreenway.com

Organizations & group practices 5

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 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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1891906368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD UNIT 311",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507906",
            "telephone_number": "941-205-8755",
            "fax_number": "941-205-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD UNIT 311",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507906",
            "telephone_number": "941-205-8755",
            "fax_number": "941-205-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEON",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.