Individual provider Active NPI

Angela J Keleher, M.D.

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1972510535
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD070836L Issued in PA
Practice address
10740 Palm River Rd Ste 360
Tampa, FL 33619-4578
Phone
(813) 844-7585
NPI assigned
Aug 3, 2006
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD070836L PA Primary

Addresses

Primary practice location

10740 Palm River Rd Ste 360
Tampa, FL 33619-4578

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-8927

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akeleher148490@direct.ahn.org
Direct Messaging Address akeleher246389@direct.tgh.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230103002562 FL Practitioner - General Surgery 9931200961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070836LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Surgery CurrentSince Jan 8, 2018 Accepting new patients
Tampa General Medical Group Inc Surgery Current Accepting new patients
Allegheny Clinic Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 28, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jan 8, 2018 Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 28, 2022 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4727 Friendship Ave
Ste 140
Pittsburgh, PA 15224
Phone (412) 235-5885

4815 Liberty Ave
Ste 142
Pittsburgh, PA 15224
Phone (412) 578-1413

4815 Liberty Ave
Ste 145
Pittsburgh, PA 15224
Phone (412) 578-4311

4815 Liberty Ave
Ste Gr
Pittsburgh, PA 15224
Phone (412) 578-0282

4815 Liberty Ave
Ste GR59
Pittsburgh, PA 15224
Phone (412) 578-1425

Interoperability endpoints

  • Direct secure messaging: akeleher@direct.health-quest.org
  • Direct secure messaging: akeleher148490@direct.ahn.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1972510535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 PALM RIVER RD STE 360",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194578",
            "telephone_number": "813-844-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEHER",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD070836L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akeleher148490@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 145",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akeleher246389@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10740 Palm River Rd Ste 360",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336194578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.