Active NPI
Michael George Antimisiaris, MD
- Clinical Cardiac Electrophysiology Physician
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 37545
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1689 - Phone
- (606) 430-2201
- Fax
- (606) 218-4651
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 37545 | KY | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 37545 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2201
Other practice location 1
800 Rose St
Lexington, KY 40536-0294
Phone (859) 323-0295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64055718 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mantimisiaris21880@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, ND
- 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
- Cardiac Electrophysiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37545 | KY | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Newyork-Presbyterian/Queens | Cardiovascular Disease | Past | Accepting new patients |
| St Luke Cardiovascular Medical Group | Cardiovascular Disease | Past | Accepting new patients |
| Pam Combs MD Consulting Services, P.S.C. | Cardiovascular Disease | Past | Accepting new patients |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Interoperability endpoints
- mantimisiaris21880@pikevillekydirect.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Clinic/Center
- Pikeville, KY
- NPI 1710207865
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Cardiovascular Disease Physician
- Paris, KY
- NPI 1730315789
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
-
- Cardiovascular Disease Physician
- Murrieta, CA
- NPI 1720158611
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1881606499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD BLDG A",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011689",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360294",
"country_code": "US",
"telephone_number": "859-323-0295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTIMISIARIS",
"first_name": "MICHAEL",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "37545",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": "37545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64055718",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mantimisiaris21880@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikeville, KY
- Anchored Hope Counseling and Consulting
- Anchored Hope Counseling PLCC
- Brandy Lynn Anderson, AGACNP
- William R Anderson, DMD
- Maggie P Angelica, MD
- Appalachian Cardiology Clinic, PSC
- Appalachian Care Center, LLC
- Appalachian Community Care Center LLC
- Appalachian Community Care LLC
- Appalachian Community Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.