Active NPI
Angela Keon, MD
- Family Medicine Physician
- Punta Gorda, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME111729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Enrollment records 1
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111729 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Health of Charlotte PA | Single Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Angela Keon MD LLC | Single Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Single Specialty | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Punta Gorda, FL
- NPI 1124276167
Single Specialty
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Single Specialty
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Osprey, FL
- NPI 1649450891
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.