DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) – Surgery Physician, NPI 1063651131

DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) is a healthcare provider. based in Lake mary, Florida. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. OS11555 (FL). The NPI Number for DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) is 1063651131

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN CHRISTOPHER DEANGELIS (D.O.)
NPI
1063651131
Phone
(407) 833-9195
Address
4106 W LAKE MARY BLVD
Enumeration Date
13 February 2009
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4072002700
Graduation Year
2006 (20 years ago)
PAC ID
8820266901
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20120802000450
Address ID
FL327517102MA2600XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. NATHAN CHRISTOPHER DEANGELIS (D.O.)

  • Lake Mary Boulevard, Lake Mary, Sanford, Seminole County, Florida, 32773, United States

    SUITE 330

    LAKE MARY, FL 327463315

    Phone: (407) 833-9195

    Fax: (407) 833-9308

    Type: Mailing

  • 4106 W LAKE MARY BLVD STE 100

    LAKE MARY, FL 327463344

    Phone: (407) 562-5930

    Fax: (407) 562-5931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $943.

Total Amount is formed as General ($943) + Research ($0) + Ownership ($0) = $943.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($943).

Total Amount

$943

General + Research + Ownership

Payments

6

Total payment records

General Amount

$943

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$943
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120802000450IGeneral SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes104101$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8144$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4127$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes3026$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

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Frequently asked questions

Is there an official ID for DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) in U.S. healthcare records?
The official identifier for DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) is NPI 1063651131.
Is there an active status for DR. NATHAN CHRISTOPHER DEANGELIS (D.O.)?
For scheduling context, DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) is shown as active in the registry.
What kind of doctor is DR. NATHAN CHRISTOPHER DEANGELIS (D.O.)?
DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) associated with Lake Mary?
Public fields place DR. NATHAN CHRISTOPHER DEANGELIS (D.O.) around Lake Mary, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.