DR. ANGELA DEROBERTIS (MD) – Radiation Oncology Physician, NPI 1669463279

DR. ANGELA DEROBERTIS (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 13785 (RI). The NPI Number for DR. ANGELA DEROBERTIS (MD) is 1669463279

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA DEROBERTIS (MD)
NPI
1669463279
Phone
(401) 456-2690
Address
50 Maude St
Enumeration Date
2 November 2005
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
0143278721
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20210728003555
Address ID
PA171041612HA409XXSTXX400

Contacts

Secure Messaging
aderobertis207628@phsdirect.pinnaclehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

35 RADIATION ONCOLOGY in RI

Provider Addresses for DR. ANGELA DEROBERTIS (MD)

  • 50 Maude St

    Providence, RI 029084325

    Phone: (401) 456-2690

    Fax: (401) 456-6540

    Type: Location

  • 4300 Londonderry Rd Lowr Level

    Harrisburg, PA 171095317

    Phone: (717) 724-6740

    Fax: (717) 724-6741

    Type: Location

  • 25 Sprint Dr

    Carlisle, PA 170157696

    Phone: (717) 960-3750

    Fax: (717) 960-3734

    Type: Location

  • 2035 Technology Pkwy Ste 100

    Mechanicsburg, PA 170509422

    Phone: (717) 724-6740

    Fax: (717) 724-6741

    Type: Location

  • 2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    ATTN: PAYER CONTRACTING & RELATIONS

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    Type: Mailing

  • 50, Maude Street, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029084325

    Phone: (401) 456-2690

    Fax: (401) 456-6540

    Type: Location

  • 310 Stock St Ste 5

    Hanover, PA 173312276

    Phone: (717) 316-2163

    Fax: (717) 316-1653

    Type: Location

  • 1703 INNOVATION DR STE 100

    YORK, PA 174088815

    Phone: (717) 801-0742

    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: 2021-07-28

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
I20210728003555IRadiation OncologyPATBD

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
77014Ct guidance for insertion of radiation therapy fields52937$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy27534$0
77300Calculation of radiation therapy dose21954$0
77427Radiation treatment management, 5 treatment sessions19854$0
77334Design and construction of complex radiation treatment device16555$0
View full utilization report →

Insurance plans in this area (ZIP 02908)

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Provider's Procedures

DR. ANGELA DEROBERTIS (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYRI77263Management of radiation therapy, complex4444
RADIATION ONCOLOGYRI77300Calculation of radiation therapy dose88570
RADIATION ONCOLOGYRI77427Radiation treatment management, 5 treatments20368

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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

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Frequently asked questions

What federal number belongs to DR. ANGELA DEROBERTIS (MD)?
The federal identifier for DR. ANGELA DEROBERTIS (MD) is NPI 1669463279.
Is DR. ANGELA DEROBERTIS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ANGELA DEROBERTIS (MD)'s specialty in plain language?
Clinically, the directory lists DR. ANGELA DEROBERTIS (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANGELA DEROBERTIS (MD)?
The snapshot lists Providence, Rhode Island for DR. ANGELA DEROBERTIS (MD); download NPPES for the complete set.
Is DR. ANGELA DEROBERTIS (MD) a real provider?
This page reflects official NPPES data for NPI 1669463279. Always confirm identity and privileges with the practice and licensing boards.

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