Individual provider Active NPI

Angela S Filler, M.D.

  • Pediatrics Physician
  • Gilbert, AZ
National Provider Identifier
1972593580
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25036 Issued in AZ
Practice address
3921 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2727
Phone
(480) 615-2010
Fax
(480) 545-4158
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25036 AZ Primary

Addresses

Primary practice location

3921 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2727

Mailing address

PO Box 16455
Mesa, AZ 85211-6455
Phone (480) 615-2010

Other identifiers 1

IdentifierTypeStateIssuer
476285MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151222001793 AZ Practitioner - Pediatric Medicine 1254632912 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25036AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Dec 23, 2015 Accepting new patients
District Medical Group, Inc CurrentSince Dec 23, 2015 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 23, 2015 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 23, 2015 Accepting new patients
Banner Childrens Banner Health Clinic LLC Past Accepting new patients
Banner Childrens Banner Health Clinic LLC Past Accepting new patients
Desert Valley Pediatrics Pediatrics Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

4011 N 51st Ave
Phoenix, AZ 85031
Phone (623) 344-6900

Interoperability endpoints

  • Direct secure messaging: afiller122535@direct.valleywisehealth.org

Organizations & group practices 10

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972593580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16455",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852116455",
            "telephone_number": "480-615-2010",
            "fax_number": "480-962-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD",
            "address_2": "SUITE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-615-2010",
            "fax_number": "480-545-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLER",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "25036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.