MALLORY ANNE DANGELO (D.O.) – Psychiatry Physician, NPI 1912392143

MALLORY ANNE DANGELO (D.O.) is a healthcare provider. based in Akron, Ohio. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 34.012488 (OH). The NPI Number for MALLORY ANNE DANGELO (D.O.) is 1912392143

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY ANNE DANGELO (D.O.)
NPI
1912392143
Phone
(330) 375-6789
Address
525 E Market St
Enumeration Date
3 April 2015
Last Update Date
11 March 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8921364753
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20171113000538
Address ID
OH443041619AK525XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

Provider Addresses for MALLORY ANNE DANGELO (D.O.)

  • 525 E Market St

    Akron, OH 44309

    Phone: (330) 375-6789

    Type: Location

  • 5655 HUDSON DR STE 305

    HUDSON, OH 442364454

    Phone: (330) 650-2111

    Fax: (330) 650-2211

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-11-13

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
I20171113000538IPsychiatryOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10214$0
View full utilization report →

Insurance plans in this area (ZIP 44309)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

Can I use this page to confirm MALLORY ANNE DANGELO (D.O.)'s NPI?
Yes. MALLORY ANNE DANGELO (D.O.) is listed with NPI 1912392143 in the public NPI dataset.
Is MALLORY ANNE DANGELO (D.O.) listed as active for patients and plans?
The listing shows MALLORY ANNE DANGELO (D.O.) as active in the NPI system.
What healthcare role does MALLORY ANNE DANGELO (D.O.) hold?
Scheduling teams often label MALLORY ANNE DANGELO (D.O.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does MALLORY ANNE DANGELO (D.O.) list a practice location?
Patients near Akron, Ohio may find MALLORY ANNE DANGELO (D.O.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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