Active NPI
Alexander Antoniou, M.D.
- General Practice Physician
- Gainesville, FL
National Provider Identifier
1588922116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D0080390
- Practice address
- 1600 SW Archer Rd
Department of Surgery
Gainesville, FL 32610-3003 - Phone
- (352) 265-0111
- NPI assigned
- May 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D0080390 | MD | Primary |
| Nuclear Medicine Physician | 207U00000X | D0080390 | MD | |
| Surgery Physician | 208600000X | TRN# 17199 | FL |
Addresses
Primary practice location
1600 SW Archer Rd
Department of Surgery
Gainesville, FL 32610-3003
Mailing address
125 SW 5TH Ter
Apt 3-532
Gainesville, FL 32601-6559
Phone (617) 335-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Tufts University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2925 E Baltimore St
Baltimore, MD 21224-1345
Phone (617) 335-4002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0080390 | MD | MD | Nuclear Medicine Physician |
| TRN# 17199 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turnout Medical Group PA | Current | Accepting new patients | |
| DRH Medical Group | General Practice | Past | Accepting new patients |
Locations
13303 S Teal Ridge Way
Ste M240
Riverton, UT 84096
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1588922116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 SW 5TH TER",
"address_2": "APT 3-532",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326016559",
"telephone_number": "617-335-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIOU",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-02",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D0080390",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MD",
"license": "D0080390",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN# 17199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.