ANGEL ROLANDO PERALTA-AVILA (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1326354937

ANGEL ROLANDO PERALTA-AVILA (MD) is a healthcare provider. based in Columbia, Missouri. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. C175635 (CA). The NPI Number for ANGEL ROLANDO PERALTA-AVILA (MD) is 1326354937

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL ROLANDO PERALTA-AVILA (MD)
NPI
1326354937
Phone
(573) 882-8885
Address
# MA101
Enumeration Date
20 August 2010
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2008 (18 years ago)
PAC ID
2466681564
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20170821000738
Address ID
MI482022608DE2799XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:15State licenses:3Digital endpointsOther names

412 PULMONARY DISEASE in MO

Provider Addresses for ANGEL ROLANDO PERALTA-AVILA (MD)

  • # MA101

    1 HOSPITAL DRIVE

    COLUMBIA, MO 652120001

    Phone: (573) 882-8885

    Type: Mailing

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (800) 653-6568

    Fax: (313) 876-1305

    Type: Mailing

  • 200 W Arbor Dr

    San Diego, CA 921039000

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 15855 19 Mile Rd

    Clinton Township, MI 480383504

    Phone: (586) 263-2978

    Type: Location

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone:

    Type: Mailing

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (800) 653-6568

    Fax: (313) 876-1305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $79,667.

Total Amount is formed as General ($79,667) + Research ($0) + Ownership ($0) = $79,667.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($77,511).

Total Amount

$79,667

General + Research + Ownership

Payments

94

Total payment records

General Amount

$79,667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2022-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170821000738IInternal MedicineMITBD
I20220216002526IPulmonary DiseaseCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4122$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3029$0
31622Diagnostic exam of lung airway using an endoscope2825$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2415$0
31624Irrigation and suction of lung airways to obtain cells using an endoscope2423$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Is ANGEL ROLANDO PERALTA-AVILA (MD) listed with a National Provider Identifier?
Yes — ANGEL ROLANDO PERALTA-AVILA (MD) has NPI 1326354937 on file in the registry.
Is there an active status for ANGEL ROLANDO PERALTA-AVILA (MD)?
For scheduling context, ANGEL ROLANDO PERALTA-AVILA (MD) is shown as active in the registry.
What expertise is attributed to ANGEL ROLANDO PERALTA-AVILA (MD)?
ANGEL ROLANDO PERALTA-AVILA (MD)'s specialty line reads Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ANGEL ROLANDO PERALTA-AVILA (MD)?
Directory geography for ANGEL ROLANDO PERALTA-AVILA (MD) centers on Columbia, Missouri.
Can I trust this NPI listing for ANGEL ROLANDO PERALTA-AVILA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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