Individual provider Active NPI

John Angiel, DO

  • Family Medicine Physician
  • Fenton, MI
National Provider Identifier
1386388445
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101028911 Issued in MI
Practice address
102 N Adelaide St Ste B
Fenton, MI 48430-2663
Phone
(810) 629-9461
Fax
(810) 593-1029
NPI assigned
Apr 25, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101028911 MI Primary

Addresses

Primary practice location

102 N Adelaide St Ste B
Fenton, MI 48430-2663

Mailing address

102 N Adelaide St Ste B
Fenton, MI 48430-2663
Phone (810) 629-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002001927 MI Practitioner - Family Practice 9638550965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fenton Medical CenterGroup PAC ID 4183605819, 9 clinicians

Practice addresses (Care Compare)

102 N Adelaide St
Fenton, MI 48430-2670
Phone (810) 629-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101028911MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fenton Medical Center Family Medicine CurrentSince Aug 18, 2025 Accepting new patients

Locations

102 N Adelaide St
Fenton, MI 48430
Phone (810) 629-2245

102 N Adelaide St
Ste 100
Fenton, MI 48430
Phone (727) 484-2173

102 N Adelaide St
Ste B
Fenton, MI 48430
Phone (810) 354-8900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHIEAD
  • Direct secure messaging: john.angiel.1@11347.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1386388445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N ADELAIDE ST STE B",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302663",
            "telephone_number": "810-629-9461",
            "fax_number": "810-593-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ADELAIDE ST STE B",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302663",
            "telephone_number": "810-629-9461",
            "fax_number": "810-593-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGIEL",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101028911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.