Angleton Internal Medicine and Primary Care – Federally Qualified Health Center (FQHC), NPI 1154967776

Angleton Internal Medicine and Primary Care is a healthcare provider. based in Angleton, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Angleton Internal Medicine and Primary Care is 1154967776

Main info

Organization
Name
Angleton Internal Medicine and Primary Care
NPI
1154967776
Phone
(281) 824-1480
Address
2020 E MULBERRY ST
Authorized Official
BRANDY SMITH CREDENTIALING COORDINATOR
Enumeration Date
19 November 2019
Last Update Date
26 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Angleton Internal Medicine and Primary Care

  • 2020 E MULBERRY ST

    ANGLETON, TX 775153923

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Mailing address matches the actual address.

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: 2020-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (78 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20200720001056OFederally Qualified Health Center (Fqhc)TX2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 77515)

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Reviews

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Frequently asked questions

How do payers reference Angleton Internal Medicine and Primary Care?
For Angleton Internal Medicine and Primary Care, use NPI 1154967776 as the unique 10-digit identifier.
Is Angleton Internal Medicine and Primary Care still an active registrant?
Angleton Internal Medicine and Primary Care carries an active NPI according to the public dataset.
How would a patient describe Angleton Internal Medicine and Primary Care's focus?
For Angleton Internal Medicine and Primary Care, the primary taxonomy reads as Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is Angleton Internal Medicine and Primary Care located near Angleton?
Angleton Internal Medicine and Primary Care currently maps to Angleton, Texas in this extract.
Can I trust this NPI listing for Angleton Internal Medicine and Primary Care?
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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