CMS-1500 Box 24J / 33a • NPI
1538788609
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1 CELLINI PL STE 102, WEST HAVEN, CT, 06516-1666
✓ 9-Digit EDI 837 ZIP+4 (06516-1666)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1538788609 (EVAN ANGELUS, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1538788609 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EVAN ANGELUS, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1 CELLINI PL STE 102, WEST HAVEN, CT, 06516-1666 |
| Practice Telephone / Fax | Tel: (203) 932-6481 | Fax: (203) 932-4051 |
| Administrative Mailing Address | 1 CELLINI PL STE 102, WEST HAVEN, CT, 06516-1666 |
| Enumeration & Last Sync | Enumerated: 2020-04-09 | CMS Record Updated: 2024-09-25 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EVAN ANGELUS, MD)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CT | License: 74561 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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