ANGELA STORK (MD) – Surgery Physician, NPI 1386932192

ANGELA STORK (MD) is a healthcare provider. based in Silvis, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. R72675 (AZ). The NPI Number for ANGELA STORK (MD) is 1386932192

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA STORK (MD)
NPI
1386932192
Phone
(309) 281-2120
Address
855 ILLINI DR STE 304
Enumeration Date
13 July 2011
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8436513308
Graduation Year
2011 (15 years ago)
PAC ID
7618111030
Group Practice PAC ID
2365697398
Professional Enrollment ID
I20241125004314
Address ID
SC295724177MY8203XDRXX300

Contacts

Secure Messaging
Astork@tidelandshealth.org
Secure Messaging
angela.stork@direct.genesishealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:14State licenses:3Other names

1,422 GENERAL SURGERY in IL

Provider Addresses for ANGELA STORK (MD)

  • 855 ILLINI DR STE 304

    SILVIS, IL 612822904

    Phone: (309) 281-2120

    Type: Mailing

  • PO BOX 421718

    GEORGETOWN, SC 294424203

    Phone: (843) 527-7000

    Type: Mailing

  • 855 Illini Dr Ste 304

    Silvis, IL 612822904

    Phone: (309) 281-2120

    Type: Location

  • 4181 Highway 17

    Murrells Inlet, SC 295765019

    Phone: (843) 651-3308

    Fax: (843) 651-4629

    Type: Location

  • 8203 Nigels Dr

    Myrtle Beach, SC 295724177

    Phone: (843) 651-3308

    Fax: (843) 651-4629

    Type: Location

  • 2405 N FRASER ST

    GEORGETOWN, SC 294407764

    Phone: (843) 651-3308

    Fax: (843) 651-4629

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: HOLOGIC INC ($400).

Total Amount

$514

General + Research + Ownership

Payments

2

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170819000273IGeneral SurgeryILTBD
I20180710002223IGeneral SurgeryIATBD
I20241125004314IGeneral SurgerySCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61282)

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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: 2365697398View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YSC
Family PracticeFL
-SC
-SC
-SC
-SC
Sports Medicine, Orthopedic SurgerySC
Internal MedicineSC
-SC
G A S T R O E N T E R O L O G YPA

Reviews

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Frequently asked questions

How do payers reference ANGELA STORK (MD)?
For ANGELA STORK (MD), use NPI 1386932192 as the unique 10-digit identifier.
Active or inactive — what applies to ANGELA STORK (MD)?
You should see ANGELA STORK (MD) as active in CMS-hosted NPPES data.
What kind of doctor is ANGELA STORK (MD)?
ANGELA STORK (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANGELA STORK (MD)?
Directory geography for ANGELA STORK (MD) centers on Silvis, Illinois.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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