1. Home
  2. Directory
  3. Michigan
  4. Ypsilanti
  5. Physician Assistant
  6. NPI Profile

ANGELO SO ANTARAN PA
NPI 1932106481
Physician Assistant - Surgical in Ypsilanti, MI

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
5301 E HURON RIVER DR, YPSILANTI, MI 48197(734) 712-5609(734) 712-5797 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Angelo So Antaran Pa NPPES

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

ANGELO SO ANTARAN PA (NPI 1932106481) is an individual surgical provider in Ypsilanti, Michigan, licensed in Michigan (5601003519) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1932106481
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANGELO SO ANTARANCredential: PA
Location Address5301 E HURON RIVER DRYpsilanti, MI 48197-1051
Mailing Address5301 E Huron River DrYpsilanti, MI 48197-1051 · (734) 712-5609 · Fax (734) 712-5797
Phone(734) 712-5609
Fax(734) 712-5797
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1932106481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601003519
5301 E HURON RIVER DR, Ypsilanti, MI 48197
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP35378OH
Medicare ID-Type UnspecifiedANPA76481OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Angelo So Antaran Pa 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 ID6800838210
PECOS Enrollment IDI20050525001138
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 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
21 services21 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

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.

BRETTON LEE SCHLOESSER M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. KELLY PERRY APPLE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MR. DANIEL PATRICK DEFER P.A.-C
Physician Assistant (Surgical)
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-5609
ERIN M PRENTICE NP
Nurse Practitioner
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MS. MARLA BRIT MEADOR CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
MRS. MARTHA ANN LEVEQUE CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3840
DIVYA MAHESHWARI MD
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (737) 712-8676
DR. KRISTEN ALEXIS YEE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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 Angelo Antaran's NPI number?

The NPI number for Angelo Antaran is 1932106481. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Angelo Antaran located?

Angelo Antaran practices at 5301 E Huron River Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-5609.

What is Angelo Antaran's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Angelo Antaran enrolled in Medicare?

Yes. Angelo Antaran 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.

What insurance does Angelo Antaran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Angelo Antaran 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 Angelo Antaran affiliated with any hospitals?

According to CMS data, Angelo Antaran is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Angelo Antaran was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.