NPIMap

Individual provider Active NPI

Jonathan Callegari, DO

  • Orthopaedic Surgery Physician
  • Charleston, WV
National Provider Identifier
1831571207
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4607 Issued in WV
Practice address
100 Tracy Way
Charleston, WV 25311-1257
Phone
(304) 343-4583
Fax
(304) 343-9207
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C4963 KY
Orthopaedic Surgery Physician 207X00000X 4607 WV Primary

Addresses

Primary practice location

100 Tracy Way
Charleston, WV 25311-1257

Mailing address

100 Tracy Way
Charleston, WV 25311-1257
Phone (304) 343-4583

Other practice location 1

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Other practice location 2

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4422

Other practice location 3

1322 Maplewood Ave Ste A
Ronceverte, WV 24970-8016
Phone (304) 647-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV, KY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210916001356 GA Practitioner - Orthopedic Surgery 1052629540 Reassigns benefits to 1 organization
I20250605000700 WV Practitioner - Orthopedic Surgery 1052629540 Reassigns benefits to 3 organizations
I20260204001200 KY Practitioner - Orthopedic Surgery 1052629540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4963KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Jun 9, 2025 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 9, 2025 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Aug 1, 2024 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Jan 30, 2026 Accepting new patients
Pikeville Medical Center Inc CurrentSince Jan 30, 2026 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Charleston Area Medical Center, Inc. Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

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

100 Tracy Way
Charleston, WV 25311
Phone (304) 343-4583

Organizations & group practices 12

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1831571207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Clint Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420016768",
            "country_code": "US",
            "telephone_number": "270-442-9461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249708016",
            "country_code": "US",
            "telephone_number": "304-647-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 Maplewood Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249708016",
            "country_code": "US",
            "telephone_number": "304-647-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLEGARI",
        "first_name": "JONATHAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "C4963",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.