Individual provider Active NPI

Jonathan Michael Angotti, M.D.

  • Pulmonary Disease Physician
  • Maryville, TN
National Provider Identifier
1487033387
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
63405 Issued in TN
Practice address
307 N 5TH St
Maryville, TN 37804-2921
Phone
(872) 231-3162
NPI assigned
May 26, 2015
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 63405 TN Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200612002189 SC Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4486950003 Reassigns benefits to 1 organization
I20210830001707 TN Practitioner - Pulmonary Disease 4486950003 Reassigns benefits to 2 organizations
I20230309000743 WV Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4486950003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63405TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Oct 27, 2022 Accepting new patients
24 On Physicians of SC, LLC CurrentSince May 1, 2020 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Apr 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Apr 1, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 27, 2022 Accepting new patients
Blount Memorial Physician Group, Inc Internal Medicine CurrentSince Aug 1, 2021 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

1012 Jamestown Way
Maryville, TN 37803
Phone (865) 984-7400

103 W Broadway Ave
Maryville, TN 37801

2648 Sevierville Rd
Maryville, TN 37804
Phone (865) 984-1660

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

3100 Maccorkle Ave SE
Ste 205
Charleston, WV 25304
Phone (304) 388-2303

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jangotti872708@direct.ghs.myhfn.org
  • Direct secure messaging: jonathan.angotti.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1487033387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 5TH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042921",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Bmh Physicians Office Bldg",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045807",
            "country_code": "US",
            "telephone_number": "865-980-5100",
            "fax_number": "865-980-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGOTTI",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "63405",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "63405",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "63405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.