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APRIL PHANTANA-ANGKOOL M.D.
NPI 1114153749
Surgery in Bellevue, WA

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1135 116TH AVE NE STE 200, BELLEVUE, WA 98004(425) 688-0212(425) 688-0213 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2019, Nov 22, 2016, Mar 29, 2016 (3 updates tracked since 2016).

About April Phantana-angkool M.d. NPPES

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

APRIL PHANTANA-ANGKOOL M.D. (NPI 1114153749) is an individual surgery provider in Bellevue, Washington, licensed in Washington (MD60545613) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1114153749
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameAPRIL PHANTANA-ANGKOOLCredential: M.D.
Location Address1135 116TH AVE NE STE 200Bellevue, WA 98004-4695
Mailing Address1135 116th Ave Ne Ste 200Bellevue, WA 98004-4695 · (425) 688-0212 · Fax (425) 688-0213
Phone(425) 688-0212
Fax(425) 688-0213
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateJune 10, 2009
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1114153749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD60545613
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1135 116TH AVE NE STE 200, Bellevue, WA 98004
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Other Identifiers 1

Other0349642WA · State L&i

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

April Phantana-angkool M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779727185
PECOS Enrollment IDI20151009001435
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services20 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EILEEN T. CONSORTI M.D.
Surgery
1135 116TH AVE NE STE 200
BELLEVUE, WA 98004
King County (425) 688-0212
PATRICIA A MATHIS ARNP
Nurse Practitioner (Family)
1135 116TH AVE NE STE 200
BELLEVUE, WA 98004
King County (425) 635-3400

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 April Phantana-angkool's NPI number?

The NPI number for April Phantana-angkool is 1114153749. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is April Phantana-angkool located?

April Phantana-angkool practices at 1135 116th Ave NE Ste 200, Bellevue, WA 98004. The listed phone number is (425) 688-0212.

What is April Phantana-angkool's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is April Phantana-angkool enrolled in Medicare?

Yes. April Phantana-angkool is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does April Phantana-angkool accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list April Phantana-angkool 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.

Is April Phantana-angkool affiliated with any hospitals?

According to CMS data, April Phantana-angkool is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for April Phantana-angkool was last updated on June 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.