Active NPI
Michelle Chua Ang Poland, M.D.
- Family Medicine Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-4817
- Practice address
- 4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3748 - Phone
- (479) 927-2000
- Fax
- (479) 927-2211
- NPI assigned
- Mar 27, 2007
- Last updated
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00047613 | WA | |
| Family Medicine Physician | 207Q00000X | E-4817 | AR | Primary |
Addresses
Primary practice location
4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3748
Mailing address
4077 Elm Springs Rd
Ste 105
Springdale, AR 72762-3748
Phone (479) 927-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199948001 | Medicaid | AR |
Other names 1
- Dr. Michelle Chua Ang
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.ang-poland.1@2229.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2158 Butterfield Coach Rd
Springdale, AR 72764-9142
Phone (479) 757-5026
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4817 | AR | MD | Family Medicine Physician |
| MD00047613 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Family Medicine | Current | Accepting new patients |
| St Marys Physician Services, LLC | Past | Accepting new patients |
Locations
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
2000 S 42nd St
Ste 100
Rogers, AR 72758
Phone (479) 254-0434
2158 Butterfield Coach Rd
Springdale, AR 72764
Phone (479) 463-7000
4077 Elm Springs Rd
Ste 105
Springdale, AR 72762
Phone (479) 757-8099
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
Interoperability endpoints
- michelle.ang-poland.1@2229.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
-
dba Cardiology Associates of North Central Arkansas
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
dba Access Home Health
- Home Health Agency
- Springdale, AR
- NPI 1033161880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1952429680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 ELM SPRINGS RD",
"address_2": "STE 105",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623748",
"telephone_number": "479-927-2100",
"fax_number": "479-927-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 ELM SPRINGS RD STE 105",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623748",
"telephone_number": "479-927-2000",
"fax_number": "479-927-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANG POLAND",
"first_name": "MICHELLE",
"middle_name": "CHUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00047613",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-4817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199948001",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.ang-poland.1@2229.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "4077 Elm Springs Rd Ste 105",
"city": "Springdale",
"state": "AR",
"country_code": "US",
"postal_code": "727623748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ANG",
"middle_name": "CHUA",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.