Individual provider Active NPI

Antolin S Flores, M.D.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1447455803
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.097119 Issued in OH
Practice address
410 W 10TH Ave
N429 Doan
Columbus, OH 43210-1240
Phone
(614) 293-4705
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 49718 MN
Anesthesiology Physician 207L00000X 35.097119 OH Primary

Addresses

Primary practice location

410 W 10TH Ave
N429 Doan
Columbus, OH 43210-1240

Mailing address

410 W 10TH Ave
N429 Doan
Columbus, OH 43210-1240
Phone (614) 293-4705

Other identifiers 1

IdentifierTypeStateIssuer
694600000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110727000769 OH Practitioner - AnesthesiologyPractitioner - Hospice/Palliative Care 3173613585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Hospice/Palliative Care
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Anesthesia Partners LLCGroup PAC ID 7618344698, 91 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (614) 352-6479

600 N Pickaway St
Circleville, OH 43113-1447
Phone (614) 352-6479

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097119OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince Aug 16, 2024 Accepting new patients
PHS Anesthesia Billing, LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

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 2

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1447455803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "address_2": "N429 DOAN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "address_2": "N429 DOAN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANTOLIN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "49718",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.097119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694600000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.