Individual provider Active NPI

Dessislava Neykova Papantoniou, MD

  • Family Medicine Physician
  • Lake Geneva, WI
National Provider Identifier
1821880436
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101497851 Issued in WI
Practice address
350 Peller Rd
Lake Geneva, WI 53147-4543
Phone
(262) 249-0221
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101497851 WI Primary

Addresses

Primary practice location

350 Peller Rd
Lake Geneva, WI 53147-4543

Mailing address

350 Peller Rd
Lake Geneva, WI 53147-4543
Phone (262) 249-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101497851WIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: dpapantoniou125319@direct.mhemail.org

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1821880436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-249-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-249-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANTONIOU",
        "first_name": "DESSISLAVA",
        "middle_name": "NEYKOVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "101497851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.