Active NPI
Michael Antonelli, DO
- Anesthesiology Physician
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO1734
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703 - Phone
- (702) 878-0070
- Fax
- (702) 209-2064
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO1734 | NV | Primary |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703
Mailing address
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 624-5000
350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Anesthesiology | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Arizona Anesthesia Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| PBG Team Anesthesia PA | Anesthesiology | Current | Accepting new patients |
| Carson Valley Medical Center Rural Health Clinic | Past | Accepting new patients | |
| Bayfront Anesthestia Services PA | Anesthesiology | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
4035 Southpoint Blvd
Jacksonville, FL 32216
Phone (833) 894-4420
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
850 111th Ave N
Naples, FL 34108
Phone (239) 596-2557
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mantonelli190014@direct.renown.org
Organizations & group practices 13
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.
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1861623316
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
-
dba CVMC Outpatient Behavioral Health Clinic
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Temple Terrace, FL
- NPI 1780942706
-
- Internal Medicine Physician
- Gardnerville, NV
- NPI 1174708879
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1831218148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9127 W RUSSELL RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481253",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "89703",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONELLI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "DO1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.