ANGELA HARDEN-MACK (M.D.) – Internal Medicine Physician, NPI 1750383840
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for ANGELA HARDEN-MACK (M.D.)
27483 DEQUINDRE RD STE 204
MADISON HEIGHTS, MI 480715711
Phone: (540) 536-0010
Type: Location
PO BOX 201096
FERNDALE, MI 482209096
Phone: (540) 664-9215
Fax: (540) 536-0061
Type: Mailing
3411 WELLNESS WAY STE B1
FINDLAY, OH 458409547
Phone: (419) 423-5344
Type: Location
Kawa Ramen & Sushi, 2321, North Murray Avenue, The East Side, Milwaukee, Milwaukee County, Wisconsin, 53211, United States
WINCHESTER, VA 226012840
Phone: (540) 536-0010
Fax: (540) 536-0061
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($0) + Research ($450) + Ownership ($0) = $450.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: MediView XR, Inc. ($450).
Total Amount
$450
General + Research + Ownership
Payments
1
Total payment records
General Amount
$0
General payments
Research Amount
$450
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MediView XR, Inc. | $450 |
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: 2025-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081111000219 | I | Internal Medicine | MI | TBD |
| I20100419000833 | I | Internal Medicine | VA | TBD |
| I20250325001730 | I | Internal Medicine | OH | TBD |
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.
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 48071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| - | OH | |
| Physician Assistant | PA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | IN | |
| Nurse Practitioner | OH |
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