Individual provider Active NPI

Michael Antonelli, DO

  • Anesthesiology Physician
  • Carson City, NV
National Provider Identifier
1831218148
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO1734 Issued in NV
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091107000013 FL Practitioner - Anesthesiology 8426196783 Reassigns benefits to 6 organizations
I20130221000064 NV Practitioner - Anesthesiology 8426196783 Reassigns benefits to 1 organization

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
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 28, 2024 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Jul 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Jul 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Dec 30, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince May 16, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
PBG Team Anesthesia PA Anesthesiology CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.