Michael Antonelli, DO
Individual provider Active NPI Anesthesiology Physician · Carson City, NV
NPI 1831218148 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1831218148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- DO1734 (NV)
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703 - Phone
- (702) 878-0070
- Fax
- (702) 209-2064
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Inc
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
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091107000013 | FL | Practitioner - Anesthesiology | 8426196783 | Reassigns benefits to 6 organizations |
| I20130221000064 | NV | Practitioner - Anesthesiology | 8426196783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles (13 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current |
Accepting new patients | |
| Treasure Coast Anesthesia Group PA | 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 |
| Arizona Anesthesia Consultants, Inc. | Anesthesiology | Current |
Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current |
Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current |
Accepting new patients |
| Fleming Island Anesthesia LLC | 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
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
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
850 111th Ave N
Naples, FL 34108
Phone (239) 596-2557
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
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
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO1734 | NV | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831218148 | Medicaid | NV |
Other providers in Carson City, NV
- Coty Angel
- Maciel Angel
- Markos Angelides
- Lindsey Christine Aning
- Linda Anngela-Cole
- John C Anxo
- Terry A Aperule
- Jack Richard Araza
- Steven Arcangeli
- Devon C Ardesco
All providers in Carson City, NV · Anesthesiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.