Individual provider Active NPI

Michelle Chua Ang Poland, M.D.

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1952429680
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4817 Issued in AR
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
199948001MedicaidAR

Other names 1

  • Dr. Michelle Chua Ang Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000068 AR Practitioner - Family Practice 1355434739 Reassigns benefits to 2 organizations

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
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

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 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4817ARMDFamily Medicine Physician
MD00047613WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Mar 4, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.