DR. JOHN JAMES D'ANGELO JR. M.D.
NPI 1124221023
Emergency Medicine in Grantsville, WV
About Dr. John James D'angelo Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JAMES D'ANGELO JR. M.D. (NPI 1124221023) is an individual emergency medicine provider in Grantsville, West Virginia, licensed in West Virginia (23571) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of University Of Florida College Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John James D'angelo Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John D'angelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANTSVILLE, WV 26147
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John D'angelo's NPI number?
The NPI number for John D'angelo is 1124221023. It was assigned to this individual provider in the NPPES registry on June 7, 2007.
Where is John D'angelo located?
John D'angelo practices at 186 Hospital Dr, Grantsville, WV 26147. The listed phone number is (304) 354-9244.
What is John D'angelo's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John D'angelo enrolled in Medicare?
Yes. John D'angelo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John D'angelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John D'angelo reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John D'angelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John D'angelo affiliated with any hospitals?
According to CMS data, John D'angelo is affiliated with St Lukes Magic Valley Medical Center.
When was this NPI record last updated?
The NPPES record for John D'angelo was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John James D'angelo Jr., M.D. · NPI 1124221023
Emergency Medicine physician in Grantsville, West Virginia. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1124221023 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 23571 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 186 HOSPITAL DR, Grantsville, WV 26147-7100
- **Phone:** (304) 354-9244 · **Fax:** (304) 354-9323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 3, 2010
---
Source: [NPI Profile](https://npiprofile.com/npi/1124221023) · Data from the CMS NPPES public registry.