ANGELINA LIDDY MD
NPI 1891364790
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Angelina Liddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELINA LIDDY MD (NPI 1891364790) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT224340) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angelina Liddy 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.
Medicare Billing Reassignment
Medicare enrollment records show Angelina Liddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southampton, PA 18966
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Infectious Diseases Associates PC
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
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 Angelina Liddy's NPI number?
The NPI number for Angelina Liddy is 1891364790. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Angelina Liddy located?
Angelina Liddy practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-5161.
What is Angelina Liddy's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Angelina Liddy enrolled in Medicare?
Yes. Angelina Liddy 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.
Which organization bills Medicare for Angelina Liddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelina Liddy reassigns Medicare benefits to Infectious Diseases Associates, P.C. (Southampton, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelina Liddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angelina Liddy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Angelina Liddy 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 Angelina Liddy affiliated with any hospitals?
According to CMS data, Angelina Liddy is affiliated with Jefferson Health- Northeast.
When was this NPI record last updated?
The NPPES record for Angelina Liddy was last updated on June 23, 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.
# Angelina Liddy, MD · NPI 1891364790
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1891364790 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** MT224340 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 KNIGHTS RD, Philadelphia, PA 19114-4200
- **Phone:** (215) 612-5161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Infectious Diseases Associates, P.C. (NPI 1225092117, Southampton, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1891364790) · Data from the CMS NPPES public registry.