ANGELA DEPERGOLA PA-C NPI 1922005917

NPI Information

  • NPI: 1922005917
  • Provider Name: ANGELA DEPERGOLA, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 499 FARMINGTON AVE STE 300
    FARMINGTON, CT
    ZIP 06032
  • Phone: (860) 549-3210

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NPI Details

Angela Depergola, PA-C is a surgical physician assistant in Farmington, CT with 21 years of experience. Angela Depergola, PA-C NPI is 1922005917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

499 FARMINGTON AVE STE 300
FARMINGTON, CT
ZIP 06032-933
Phone: (860) 549-3210

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Injection into tendon or ligament (HCPCS:20550)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cast supplies, short arm cast, adult (11 years +), fiberglass (HCPCS:Q4010)
  • Application of elbow to finger cast (HCPCS:29075)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 10/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical000869CONNECTICUTYes
2363A00000XPhysician Assistant000869CONNECTICUTNo
3363AS0400XPhysician AssistantSurgicalPA1056MASSACHUSETTSNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003008695MEDICAIDCONNECTICUT

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: 11/21/2025

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