Jonathan Michael Angotti, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Maryville, TN
NPI 1487033387 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1487033387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 63405 (TN)
- Practice address
- 307 N 5TH St
Maryville, TN 37804-2921 - Phone
- (872) 231-3162
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University of Tennessee, HSC, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blount Memorial Physician Group Inc
Practice addresses (Care Compare)
463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100
Hospital & facility affiliations
- Blount Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.77 of 100
- Quality
- 58.61
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SC, TN, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200612002189 | SC | Practitioner - Internal Medicine |
4486950003 | Reassigns benefits to 1 organization |
| I20210830001707 | TN | Practitioner - Pulmonary Disease | 4486950003 | Reassigns benefits to 2 organizations |
| I20230309000743 | WV | Practitioner - Pulmonary Disease |
4486950003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63405 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Current |
Accepting new patients | |
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| 24 On Physicians of SC, LLC | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current |
Accepting new patients | |
| Integrated Rehab Consultants LLC | Current |
Accepting new patients | |
| Blount Memorial Physician Group, Inc | Internal Medicine | Current |
Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392
1520 Grove St
Loudon, TN 37774
Phone (423) 458-5436
103 W Broadway Ave
Maryville, TN 37801
2648 Sevierville Rd
Maryville, TN 37804
Phone (865) 984-1660
1012 Jamestown Way
Maryville, TN 37803
Phone (865) 984-7400
307 N 5th St
Maryville, TN 37804
Phone (423) 983-0261
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
8353 Highway 100
Nashville, TN 37221
Phone (629) 888-5539
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3100 Maccorkle Ave SE
Ste 205
Charleston, WV 25304
Phone (304) 388-2303
Interoperability endpoints
- jonathan.angotti.p1@direct.bmpg.nextgenshare.com
- jangotti872708@direct.ghs.myhfn.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 63405 | TN | Yes |
| Internal Medicine Physician | 207R00000X | 63405 | TN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 63405 | TN |
Addresses
Primary practice location
307 N 5TH St
Maryville, TN 37804-2921
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595
Other practice location 1
463 Bmh Physicians Office Bldg
Maryville, TN 37804-5807
Phone (865) 980-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q068341 | Medicaid | TN |
Other providers in Maryville, TN
- Melissa Ambler
- Jamie Mortgage Servicing Amos
- Eric Anthony Anderson
- Anesthesia Services Associates, PLLC
- Angels of Tennessee
- Virginia Gayle Ankley-Bell
- App of Tennessee Ed, PLLC
- Appalachian Center for Women, PC
- Appalachian Development LLC
- Apple Dental
All providers in Maryville, TN · Pulmonary Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.