NPIMap

Individual provider Active NPI

Illena Antonetti, M.D.

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1700990355
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME115814 Issued in FL
Practice address
7148 Curry Ford Rd Ste 200
Orlando, FL 32822-5803
Phone
(407) 738-4200
NPI assigned
Aug 19, 2006
Last updated
Jan 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME115814 FL Primary

Addresses

Primary practice location

7148 Curry Ford Rd Ste 200
Orlando, FL 32822-5803

Mailing address

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130816000061 FL Practitioner - Cardiovascular Disease (Cardiology) 0547311961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115814FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 2, 2013 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Jul 2, 2013 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

100 N Dean Rd
Orlando, FL 32825
Phone (407) 506-0006

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

2859 Delaney Ave
Ste 100
Orlando, FL 32806

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: iantonetti25229@orlandohealth.medalliesdirect.net
  • Direct secure messaging: illena.antonetti.1@29679.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1700990355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 CURRY FORD RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225803",
            "telephone_number": "407-738-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONETTI",
        "first_name": "ILLENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME115814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.