DR. AMELIA K ANGELO DMD
NPI 1104317510
Dentist - Pediatric Dentistry in Chicago, IL

Active since May 21, 2018PECOS Enrolled
6036 N NORTHWEST HWY, CHICAGO, IL 60631(773) 377-5658 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2021, May 21, 2018 (2 updates tracked since 2018).

About Dr. Amelia K Angelo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMELIA K ANGELO DMD (NPI 1104317510) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (021003052) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104317510
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AMELIA K ANGELOCredential: DMD
Location Address6036 N NORTHWEST HWYChicago, IL 60631-2518
Mailing AddressPo Box 915Park Ridge, IL 60068-0915 · (847) 845-3473
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
NPI 1104317510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IL · 021003052
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License PENDING (IL)
6036 N NORTHWEST HWY, Chicago, IL 60631

Other Names 1

Other Name (5)Mrs. Amelia Angelo-ori

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Amelia K Angelo Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183198856
PECOS Enrollment IDI20260702003232
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelia Angelo's NPI number?

The NPI number for Amelia Angelo is 1104317510. It was assigned to this individual provider in the NPPES registry on May 21, 2018. The provider is also known as Mrs. Amelia Angelo-Ori.

Where is Amelia Angelo located?

Amelia Angelo practices at 6036 N Northwest Hwy, Chicago, IL 60631. The listed phone number is (773) 377-5658.

What is Amelia Angelo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Amelia Angelo enrolled in Medicare?

Yes. Amelia Angelo is registered in the Medicare PECOS enrollment system.

What insurance does Amelia Angelo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Amelia Angelo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amelia Angelo was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.