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: July 19, 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 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
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

Other Identifiers 2

Medicare UPINP35378OH
Medicare ID-Type UnspecifiedANPA76481OH · Medicare

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Angelo Antaran is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Angelo Antaran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6800838210

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050525001138

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Computer-assisted surgery for muscle and bone procedure

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.

This service was performed 15 times for 15 patients

Replacement of knee joint, both sides of knee

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.

This service was performed 20 times for 20 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 13 times for 13 patients

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Licensed Practical Nurse
5301 E HURON RIVER DR, STE C139
YPSILANTI, MI 48197
Internal Medicine (Hematology & Oncology)
5301 E HURON RIVER DR, STE C139
YPSILANTI, MI 48197
Emergency Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Practitioner
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Pediatrics
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Pathology (Anatomic Pathology & Clinical Pathology)
5301 E HURON RIVER DR, PATHOLOGY - ST JOSEPH MERCY HOSPITAL
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Pediatrics
5301 E HURON RIVER DR, DEPARTMENT OF PEDIATRICS
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR, DEPT OF ANESTHESIOLOGY
YPSILANTI, MI 48197
Physician Assistant (Medical)
5301 E HURON RIVER DR, RM 1186
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932106481, enumerated as an "individual" on June 30, 2005.

The provider is located at 5301 E HURON RIVER DR YPSILANTI, MI 48197 and the phone number is (734) 712-5609.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.