ANGELA L MICIURA MD
NPI 1720582794
Surgery in Crystal Lake, IL

Q: What is Angela Miciura's NPI number?

The NPI number for Angela Miciura is 1720582794. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Q: What is Angela Miciura's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Miciura was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment

750 E TERRA COTTA AVE STE B, CRYSTAL LAKE, IL 60014(815) 759-6363(815) 759-6360 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 20, 2025, Jun 16, 2023, Mar 22, 2018 (3 updates tracked since 2018).

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About Angela L Miciura Md NPPES

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

ANGELA L MICIURA MD (NPI 1720582794) is an individual surgery provider in Crystal Lake, Illinois, licensed in Illinois (036.164827) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Algonquin.

NPPES Registry Identity

NPI1720582794

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameANGELA L MICIURACredential: MD

Location Address750 E TERRA COTTA AVE STE BCrystal Lake, IL 60014-3621

Mailing Address750 E Terra Cotta Ave Ste BCrystal Lake, IL 60014-3621 · (815) 759-6363 · Fax (815) 759-6360

Phone(815) 759-6363

Fax(815) 759-6360

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2018

Enumeration DateMarch 22, 2018

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1720582794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036.164827

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.

750 E TERRA COTTA AVE STE B, Crystal Lake, IL 60014

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Secondary Practice Location 1

Location 11465 Commerce DrAlgonquin, IL 60102-5916 · Phone (815) 759-6363 · Fax (815) 759-6360

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

Angela L Miciura Md 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 ID7719236173

PECOS Enrollment IDI20231018000991

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

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.

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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 3

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

MARY T RIGGS DO

Obstetrics & Gynecology

750 E TERRA COTTA AVE STE B
CRYSTAL LAKE, IL 60014

McHenry County (815) 356-2323

CHRISTINE C HEPPERLEN NP

Nurse Practitioner

750 E TERRA COTTA AVE STE B
CRYSTAL LAKE, IL 60014

McHenry County (815) 356-2323

TUCKER D BENJAMIN MS, PA-C

Physician Assistant

750 E TERRA COTTA AVE STE B
CRYSTAL LAKE, IL 60014

McHenry County (815) 759-6363

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 Angela Miciura's NPI number?

The NPI number for Angela Miciura is 1720582794. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Angela Miciura located?

Angela Miciura practices at 750 E Terra Cotta Ave Ste B, Crystal Lake, IL 60014. The listed phone number is (815) 759-6363.

What is Angela Miciura's specialty?

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

Is Angela Miciura enrolled in Medicare?

Yes. Angela Miciura 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.

Is Angela Miciura affiliated with any hospitals?

According to CMS data, Angela Miciura is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Angela Miciura was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.