MALLORY ANNE DANGELO D.O.
NPI 1912392143
Psychiatry & Neurology - Psychiatry in Hudson, OH
About Mallory Anne Dangelo D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY ANNE DANGELO D.O. (NPI 1912392143) is an individual psychiatry provider in Hudson, Ohio, licensed in Ohio (34.012488) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of Ohio State University College Of Homeopathic Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mallory Anne Dangelo D.o. 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 Reassignments
2Medicare enrollment records show Mallory Dangelo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hudson, OH 44236
- Reassigned Medicare billing, Ohio enrollment
- 655 clinicians in this Medicare group
Kent, OH 44240
- Reassigned Medicare billing, Ohio enrollment
- 187 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mallory Dangelo's NPI number?
The NPI number for Mallory Dangelo is 1912392143. It was assigned to this individual provider in the NPPES registry on April 3, 2015. The provider is also known as Mallory Anne Kolich D.O..
Where is Mallory Dangelo located?
Mallory Dangelo practices at 5655 Hudson Dr Ste 305, Hudson, OH 44236. The listed phone number is (330) 650-2111.
What is Mallory Dangelo's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mallory Dangelo enrolled in Medicare?
Yes. Mallory Dangelo 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 organizations bill Medicare for Mallory Dangelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Dangelo reassigns Medicare benefits to 2 organizations: Summa Physicians LLC (Hudson, OH) and Coleman Professional Services, Inc. (Kent, OH). Each 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 Mallory Dangelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Dangelo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and SummaCare list Mallory Dangelo 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 Mallory Dangelo was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mallory Anne Dangelo, D.O. · NPI 1912392143
Psychiatry physician in Hudson, Ohio. Individual provider, active in the CMS NPPES registry since April 3, 2015.
## Identity
- **NPI:** 1912392143 (Entity type: Individual)
- **Enumerated:** April 3, 2015
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 34.012488 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5655 HUDSON DR STE 305, Hudson, OH 44236-4454
- **Phone:** (330) 650-2111 · **Fax:** (330) 650-2211
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Summa Physicians LLC (NPI 1548279433, Hudson, OH); Coleman Professional Services, Inc. (NPI 1982637633, Kent, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Homeopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** March 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912392143) · Data from the CMS NPPES public registry.