Theodore Antonetz, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004056 Issued in NY

Practice address

185 West End Avenue
Suite 1N
Nyc, NY 10023

Phone

(212) 877-3062

Fax

(212) 873-9521

NPI assigned

Sep 25, 2006

Last updated

Aug 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dr. Theodore Antonetz, DPM, PC

  • Podiatrist
  • New York, NY
  • NPI 1750708822

  7810018215

  Same PAC ID

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Valley Foot Associates LLPGroup PAC ID 3072403369, 12 clinicians

Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, shared by 7 NPIs, 32 clinicians

Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.92 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

77.61

Merit-based Incentive Payment System (MIPS)

Final score

44.17 of 100Reported as individual

Quality

88.33

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dr. Theodore Antonetz, DPM, PC

  • Podiatrist
  • New York, NY
  • NPI 1750708822
  Medicare reassignment NPD Authorized official
• Hudson Valley Foot Associates, LLP

  • Primary Podiatric Medicine Podiatrist
  • Kingston, NY
  • NPI 1134153075
  Medicare reassignment Care Compare group NPD
• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828
  Medicare reassignment Care Compare group NPD
• Cur Alta Medical Ny PLLC

  • Podiatrist
  • Nanuet, NY
  • NPI 1912641150
  Medicare reassignment NPD
• Cur Alta Medical Ny PLLC

  dba Foot and Ankle Surgeons of New York (FAASNY)

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1457225856

  Podiatrist

  NPD
• Hudson Valley Foot Associates, LLP

  • Foot & Ankle Surgery Podiatrist
  • Newburgh, NY
  • NPI 1477071710
  NPD
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1083714554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEST END AVENUE",
            "address_2": "SUITE 1N",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-877-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEST END AVENUE",
            "address_2": "SUITE 1N",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-877-3062",
            "fax_number": "212-873-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONETZ",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Nyc, NY
• Providers in Nyc, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.