Individual provider Active NPI

Alexander Antoniou, M.D.

  • General Practice Physician
  • Gainesville, FL
National Provider Identifier
1588922116
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0080390 Issued in MD
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

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113003597 MD Practitioner - General Practice 1355827916 Reassigns benefits to 1 organization

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
Turnout Medical Group PAGroup PAC ID 3577049139, 2 clinicians

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

LicenseStateTypeSpecialty
D0080390MDMDNuclear Medicine Physician
TRN# 17199FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turnout Medical Group PA CurrentSince Jan 5, 2026 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

Verify at the official NPI Registry.