Individual provider Active NPI

John J Antalis, M.D.

  • Ophthalmology Physician
  • Cambridge, OH
National Provider Identifier
1689676777
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35060862 Issued in OH
Practice address
1502 Deerpath Dr
Cambridge, OH 43725-9240
Phone
(740) 439-3020
NPI assigned
Jun 2, 2005
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35060862 OH Primary

Addresses

Primary practice location

1502 Deerpath Dr
Cambridge, OH 43725-9240

Mailing address

11000 Woodlands Ter
Cambridge, OH 43725-7515
Phone (740) 432-6154

Other identifiers 3

IdentifierTypeStateIssuer
180036464OtherOHRRB/MEDICARE PTAN
DG0782OtherOHRRB/MEDICARE GROUP
0916003MedicaidOH

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
I20080916000082 OH Practitioner - Ophthalmology 3678506797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1502 Deerpath Dr
Cambridge, OH 43725-9240
Phone (740) 439-3020

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
79.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060862OHMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: jantalis@eseo.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1689676777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 WOODLANDS TER",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437257515",
            "telephone_number": "740-432-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 DEERPATH DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259240",
            "telephone_number": "740-439-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTALIS",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35060862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB/MEDICARE PTAN",
            "identifier": "180036464",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB/MEDICARE GROUP",
            "identifier": "DG0782",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.