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DOMINIQUE RAE DEANGELIS PA-C
NPI 1245006147
Physician Assistant - Medical in Greenwich, CT

Active since November 30, 2023PECOS Enrolled
5 PERRYRIDGE RD, GREENWICH, CT 06830(203) 863-3000 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Rae Deangelis Pa-c NPPES

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

DOMINIQUE RAE DEANGELIS PA-C (NPI 1245006147) is an individual medical provider in Greenwich, Connecticut, licensed in Connecticut (6374) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245006147
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDOMINIQUE RAE DEANGELISCredential: PA-C
Location Address5 PERRYRIDGE RDGreenwich, CT 06830-4697
Mailing Address3 Anasville RdSomers, NY 10589-2415 · (845) 661-0100
Phone(203) 863-3000
Sole ProprietorNo
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1245006147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CT · 6374✔ Licensed in NY · 031018
5 PERRYRIDGE RD, Greenwich, CT 06830
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Rae Deangelis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

ZARA NADIA ILAHI MD
Pediatrics (Neonatal-Perinatal Medicine)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3000
SARAH STAMPER M.D.
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD, MEDICAL EDUCATION
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3409
JUNE EVELYN JEON MD
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3000
ARIANA DOMINICUS PA-C
Physician Assistant
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3000
ERIC LI-MING HUANG BSC, PHARMD
Pharmacist (Pharmacotherapy)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3199
ROSEMARY PERLEY-KWAUK CRNA
Nurse Anesthetist, Certified Registered
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-5330
DR. FRANCISCO J BREA MD
Anesthesiology
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-5330
ANNE YAN TING CHUA MBBS
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3409

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 Dominique Deangelis's NPI number?

The NPI number for Dominique Deangelis is 1245006147. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Dominique Deangelis located?

Dominique Deangelis practices at 5 Perryridge Rd, Greenwich, CT 06830. The listed phone number is (203) 863-3000.

What is Dominique Deangelis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dominique Deangelis enrolled in Medicare?

Yes. Dominique Deangelis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Deangelis was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.