Individual provider Active NPI

Angela M Camacho-Duran, M.D.

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1932387271
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME127581 Issued in FL
Practice address
8206 NW 52ND St
Gainesville, FL 32653-6152
Phone
(352) 392-3681
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME127581 FL Primary

Addresses

Primary practice location

8206 NW 52ND St
Gainesville, FL 32653-6152

Mailing address

Dept of Psychiatry
Box 100256
Gainesville, FL 32610-0256

Other identifiers 1

IdentifierTypeStateIssuer
017015900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127581FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Inpatient Psychiatry Physicians Behavioral Network LLC Psychiatry CurrentSince Feb 1, 2023 Accepting new patients

Locations

425 W Colonial Dr
Ste 302
Orlando, FL 32804
Phone (330) 414-9233

1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1932387271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF PSYCHIATRY",
            "address_2": "BOX 100256",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 NW 52ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326536152",
            "telephone_number": "352-392-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-DURAN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME127581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017015900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.