Individual provider Active NPI

Anthony Peter Di Ponio, DO

  • Otolaryngology Physician
  • Waterford, MI
National Provider Identifier
1003443763
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5101028420 Issued in MI
Practice address
5220 Highland Rd Ste 230
Waterford, MI 48327-1973
Phone
(248) 254-8900
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5151014447 MI
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 5101028420 MI Primary

Addresses

Primary practice location

5220 Highland Rd Ste 230
Waterford, MI 48327-1973

Mailing address

5220 Highland Rd Ste 230
Waterford, MI 48327-1973
Phone (248) 254-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adiponio610657@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001895 MI Practitioner - Otolaryngology 1557783305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Care of Michigan PLCGroup PAC ID 2466827753, 5 clinicians

Practice addresses (Care Compare)

5220 Highland Rd
Suite 230
Waterford, MI 48327-1973
Phone (248) 254-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101028420MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care of Michigan PLC CurrentSince May 1, 2025 Accepting new patients
ENT Care of Michigan PLC Otolaryngology CurrentSince May 1, 2025 Accepting new patients

Locations

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

5220 Highland Rd
Ste 230
Waterford, MI 48327
Phone (248) 254-8900

Interoperability endpoints

  • Direct secure messaging: anthony.di.ponio.1@28822.direct.athenahealth.com
  • Direct secure messaging: anthony.diponio.1@17789.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1003443763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 230",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-254-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 230",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-254-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI PONIO",
        "first_name": "ANTHONY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5151014447",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101028420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adiponio610657@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "15855 19 Mile Rd",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.