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DR. CARMICHAEL ANGELES M.D. NPI 1689671190


NPI Information

NPI: 1689671190
Provider Name: DR. CARMICHAEL ANGELES, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

PECOS Registration: Yes

Address:
2500 ROUTE 347
BLDG 14A
STONY BROOK, NY
ZIP 11790
Phone: (631) 689-7800
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DR. Carmichael Angeles, M.D. is a nephrology internal medicine in Stony Brook, NY with 26 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Carmichael Angeles, M.D. NPI is 1689671190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

2500 ROUTE 347
BLDG 14A
STONY BROOK, NY
ZIP 11790-554
Phone: (631) 689-7800

The NPI 1689671190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology2255725NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16X8591OTHERNEW YORKEMPIRE BLUECROSS BLUESHIE
2P00073812OTHERNEW YORKMEDICARE RAILROAD
3P2949859OTHERNEW YORKOXFORD
46X8971MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
5148301OTHERNEW YORKVYTRA
6H95287MEDICARE UPINNEW YORK
702410768MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.