Active NPI
Vincent Notarangelo, M.D.
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1922047877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 019295
- Practice address
- 3001 S Hanover St
Gruehn Building, Suite 100
Baltimore, MD 21225-1233 - Phone
- (410) 354-1065
- Fax
- (410) 354-2805
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 019295 | MD | Primary |
Addresses
Primary practice location
3001 S Hanover St
Gruehn Building, Suite 100
Baltimore, MD 21225-1233
Mailing address
1619 Pot Spring Rd
Lutherville, MD 21093-5911
Phone (410) 296-4751
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001-R785 | Other | MD | BLUE CHOICE |
| 21786 | Other | MD | OPTIMUM CHOICE |
| 3726 | Other | MD | ELDERHEALTH |
| 1390396 | Other | MD | CIGNA PPO |
| 122638 | Other | MD | AETNA |
| 233 | Other | MD | BALTIMORE CITY VISION |
| 5691 | Other | MD | BLUE CROSS |
| 21786 | Other | MD | ALLIANCE |
| 04445 | Other | MD | AMERICAID |
| 200158 | Other | MD | MARYLAND VISION |
| 282290 | Other | MD | BS VA |
| 333011 | Other | MD | ADVANTICA |
| 79670 | Other | MD | PHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115000277 | MD | Practitioner - Ophthalmology | 4183819204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019295 | MD | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1922047877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 POT SPRING RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935911",
"telephone_number": "410-296-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"address_2": "GRUEHN BUILDING, SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-354-1065",
"fax_number": "410-354-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTARANGELO",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "019295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "0001-R785",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "21786",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERHEALTH",
"identifier": "3726",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "1390396",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "122638",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BALTIMORE CITY VISION",
"identifier": "233",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5691",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "21786",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID",
"identifier": "04445",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND VISION",
"identifier": "200158",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS VA",
"identifier": "282290",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTICA",
"identifier": "333011",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHN",
"identifier": "79670",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.