Amelia K. Angelo, DMD
NPI 1104317510ActiveIndividual· Dentist, Pediatric Dentistry· Chicago, IL
Dentist, Pediatric Dentistry (DMD) in Chicago, Illinois, licensed in IL, with an NPI issued in May 2018. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1104317510 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 21, 2018 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 021003052 | IL |
| Dentist | 122300000X | PENDING | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (IL) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Dentist |
| Secondary specialties | Pediatric Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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