Individual provider Active NPI

John Joseph Cangelosi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1831393438
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M7084 Issued in TX
Practice address
4131 Directors Row
Houston, TX 77092-8703
Phone
(877) 697-2447
Fax
(855) 697-2447
NPI assigned
Jun 14, 2007
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 33120 WV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 33120 WV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M7084 TX Primary

Addresses

Primary practice location

4131 Directors Row
Houston, TX 77092-8703

Mailing address

4131 Directors Row
Houston, TX 77092-8703
Phone (877) 697-2447

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, MO, WV, SC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20120604000324 TX Practitioner - Pathology 7618131657 Reassigns benefits to 5 organizations
I20191122000536 AZ Practitioner - Pathology 7618131657 Reassigns benefits to 1 organization
I20240122000227 MO Practitioner - Pathology 7618131657 Reassigns benefits to 1 organization
I20240925002340 WV Practitioner - Pathology 7618131657 Reassigns benefits to 1 organization
I20241009000917 SC Practitioner - Pathology 7618131657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mike Swann, MD, LLCGroup PAC ID 0941346068, 10 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

3850 S National Ave
Suite 705
Springfield, MO 65807-5239
Phone (417) 888-0858

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
91.51
Promoting interoperability
100
Improvement activities
40
Cost
79.93

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7084TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 10, 2026 Accepting new patients
Polaris Skin Diagnostics, LLC CurrentSince Jun 27, 2024 Accepting new patients
Monongalia County General Hospital Company CurrentSince Aug 1, 2024 Accepting new patients
Mike Swann, MD, LLC CurrentSince Jan 1, 2024 Accepting new patients
Alliance Pathology Consultants PA Dermatopathology CurrentSince Dec 13, 2022 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology CurrentSince Feb 24, 2021 Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology Current Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Apr 7, 2022 Accepting new patients
Waccamaw Dermatology, LLC CurrentSince Jun 27, 2024 Accepting new patients
Wilkenfeld Medical Laboratories, I, LTD. Past Accepting new patients

Locations

1240 E Independence St
Springfield, MO 65804
Phone (417) 888-0858

3850 S National Ave
Ste 705
Springfield, MO 65807
Phone (417) 888-0858

166 Waccamaw Medical Park Ct
Conway, SC 29526
Phone (843) 449-8079

8170 Rourk St
Ste 100
Myrtle Beach, SC 29572
Phone (843) 282-1915

917 Medical Cir
Myrtle Beach, SC 29572

2537 S Gessner Rd
Ste 200
Houston, TX 77063

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

16906 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 243-1000

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Organizations & group practices 11

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1831393438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 DIRECTORS ROW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928703",
            "telephone_number": "877-697-2447",
            "fax_number": "855-697-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 DIRECTORS ROW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928703",
            "telephone_number": "877-697-2447",
            "fax_number": "855-697-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANGELOSI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WV",
            "license": "33120",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "33120",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M7084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.