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ANGELS MEDICAL ASSOCIATES LLC
NPI 1922406875
Internal Medicine - Gastroenterology in Johnston, RI

Active since December 09, 2014CLIA 41D2093722 · Waiver
1524 ATWOOD AVE, SUITE 327, JOHNSTON, RI 02919(401) 383-0400(401) 383-0410 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angels Medical Associates Llc NPPES

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

ANGELS MEDICAL ASSOCIATES LLC (NPI 1922406875) is a healthcare organization registered as a gastroenterology in Johnston, Rhode Island and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists P. Wilfredo Canchis, Owner, as its authorized official.

NPPES Registry Identity

NPI1922406875
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameANGELS MEDICAL ASSOCIATES LLC
Location Address1524 ATWOOD AVE, SUITE 327Johnston, RI 02919-3228
Mailing Address1524 Atwood Ave, Suite 327Johnston, RI 02919-3228 · (401) 383-0400 · Fax (401) 383-0410
Phone(401) 383-0400
Fax(401) 383-0410
Organization SubpartNo
Authorized OfficialP. Wilfredo CanchisOwner · (401) 383-0400
Enumeration DateDecember 9, 2014
Last NPPES UpdateDecember 18, 2014
✔ NPI 1922406875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in RI · RI09384
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License RI09384 (RI)
1524 ATWOOD AVE, Johnston, RI 02919
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angels Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Angels Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

P Wilfredo Canchis, MD
Internal Medicine
NPI 1518018811
1524 ATWOOD AVE STE 327
Johnston, RI 02919
(401) 383-0400
✔ PECOS✔ Accepts MedicareSame address
Melix Diaz, APRN
Nurse Practitioner
NPI 1568124337
1524 ATWOOD AVE STE 327
Johnston, RI 02919
(401) 383-0400
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2093722

Angels Medical Associates, LLC · Johnston, RI
Active · expires Apr 2, 2027
CLIA Number41D2093722
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorP Wilfredo Canchis MD
Laboratory Phone(401) 383-0400
Laboratory LocationAngels Medical Associates, LLC1524 Atwood Ave Suite 327, Johnston, RI 02919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Angels Medical Associates LLC's NPI number?

The NPI number for Angels Medical Associates LLC is 1922406875. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Angels Medical Associates LLC located?

Angels Medical Associates LLC is located at 1524 Atwood Ave Suite 327, Johnston, RI 02919. The listed phone number is (401) 383-0400.

What is Angels Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Angels Medical Associates LLC enrolled in Medicare?

Yes. Angels Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angels Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Angels Medical Associates LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Angels Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2093722) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angels Medical Associates LLC was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.