Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony De Angelis

Individual provider Plastic Surgery Physician · NPI 1780668897

Anthony De Angelis is a Plastic and Reconstructive Surgery in St Louis Park, Minnesota. Graduated from University of Nevada School of Medicine in 1983, 43 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
43
Trained at
University of Nevada School of Medicine
Licensed in
MN
In the registry since
2005

Practice location Address checks out

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 993-3123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 41374 (MN)

Record details

NPI number1780668897
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESOctober 10, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park