NPIMap

Individual provider Active NPI

Antonela Svetic, MD

  • Neurology Physician
  • Beavercreek, OH
National Provider Identifier
1245309384
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35074014 Issued in OH
Practice address
3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838
Phone
(937) 433-0085
Fax
(937) 433-0084
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35074014 OH Primary

Addresses

Primary practice location

3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838

Mailing address

3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838
Phone (937) 433-0085

Other identifiers 2

IdentifierTypeStateIssuer
2525986MedicaidOH
000000349560OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000306 OH Practitioner - NeurologyPractitioner - Cardiovascular Disease (Cardiology) 4183680812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3572 Dayton Xenia Rd
Suite 217
Beavercreek, OH 45432-2838
Phone (937) 433-0085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as individual
Quality
80.21
Promoting interoperability
100
Improvement activities
40
Cost
50.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074014OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Brain Neurology Corp Neurology CurrentSince Jan 4, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3572 Dayton Xenia Rd
Ste 217
Beavercreek, OH 45432
Phone (937) 433-0085

Interoperability endpoints

  • Direct secure messaging: antonela.svetic.1@12459.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12459/brand/1/csg/1/fhir/r4

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 6

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1245309384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 DAYTON XENIA RD STE 217",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322838",
            "telephone_number": "937-433-0085",
            "fax_number": "937-433-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 DAYTON XENIA RD STE 217",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322838",
            "telephone_number": "937-433-0085",
            "fax_number": "937-433-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVETIC",
        "first_name": "ANTONELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35074014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2525986",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000349560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.