ANGELIQUA FONSECA GRANGE M.D.
NPI 1972358000
Internal Medicine in Mchenry, IL

Q: What is Angeliqua Grange's NPI number?

The NPI number for Angeliqua Grange is 1972358000. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Angeliqua Grange's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Angeliqua Grange was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since April 22, 2024PECOS Enrolled

4201 MEDICAL CENTER DRIVE, MCHENRY, IL 60050(815) 344-5000 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Aug 6, 2024, Apr 22, 2024 (3 updates tracked since 2024).

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About Angeliqua Fonseca Grange M.d. NPPES

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

ANGELIQUA FONSECA GRANGE M.D. (NPI 1972358000) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (125.084480) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972358000

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameANGELIQUA FONSECA GRANGECredential: M.D.

Location Address4201 MEDICAL CENTER DRIVEMchenry, IL 60050

Mailing Address4201 Medical Center DriveMchenry, IL 60050

Phone(815) 344-5000

Sole ProprietorYes

Enumeration DateApril 22, 2024

Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1972358000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125.084480

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 MEDICAL CENTER DRIVE, Mchenry, IL 60050

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angeliqua Fonseca Grange M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS LAVANYA NAGARAJAN M.B.B.S.

Internal Medicine