Organization Active NPI

Joseph Angelo, MD LLC

  • Internal Medicine Physician
  • Bel Air, MD
National Provider Identifier
1912078338
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D56607 Issued in MD
Legal business name
JOSEPH ANGELO, MD LLC
Practice address
208 Plumtree Road
Suite D
Bel Air, MD 21015
Phone
(410) 588-5681
Fax
(410) 588-5682
NPI assigned
Nov 10, 2006
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Joseph Angelo, MDNPI 1740351147
Title
Owner
Phone
(410) 588-5681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D56607 MD Primary

Addresses

Primary practice location

208 Plumtree Road
Suite D
Bel Air, MD 21015

Mailing address

208 Plumtree Road
Suite D
Bel Air, MD 21015
Phone (410) 588-5681

Other identifiers 1

IdentifierTypeStateIssuer
DC5293OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041230000113 MD Part B Supplier - Clinic/Group Practice 3173581642 Receives reassigned benefits from 4 practitioners
Practice locations: Bel Air, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1031229Joseph Angelo MD LLC208 Plumtree Road Suite D, Bel Air, MD 21015Provider-performed microscopySep 26, 2026

National Provider Directory

National Provider Directory

Locations

208 Plumtree Rd
Ste D
Bel Air, MD 21015
Phone (410) 588-5681

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1912078338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PLUMTREE ROAD",
            "address_2": "SUITE D",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "410-588-5681",
            "fax_number": "410-588-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PLUMTREE ROAD",
            "address_2": "SUITE D",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "410-588-5681",
            "fax_number": "410-588-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ANGELO, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-588-5681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D56607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC5293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.