Active NPI
Vittorio Paolo Antonacci, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00504
- Practice address
- 700 E Morehead St
Ste 300
Charlotte, NC 28202-2788 - Phone
- (704) 334-7800
- Fax
- (704) 414-7512
- NPI assigned
- Jun 13, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 22750 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 00504 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 00504 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 22750 | SC |
Addresses
Primary practice location
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Mailing address
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Phone (704) 334-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89128VY | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000103 | NC | Practitioner - Diagnostic Radiology | 6507883147 | Reassigns benefits to 1 organization |
| I20130718000758 | SC | Practitioner - Diagnostic Radiology | 6507883147 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charlotte Radiology PA
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945
1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535
1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900
1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945
1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945
1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391
1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800
1090 NW Gateway CT
Suite 202
Concord, NC 28025-2414
Phone (704) 403-9050
12016 Lemmond Farm Dr
Suite 100
Charlotte, NC 28227-8353
Phone (704) 863-9600
13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800
1426 E Morehead St
Charlotte, NC 28204-2926
Phone (704) 446-8250
16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950
1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610
181 Daniel Rd
Forest City, NC 28043-7151
Phone (828) 286-9036
2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800
2711 Lane St
Kannapolis, NC 28083-9217
Phone (704) 334-7800
332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945
487 Lake Concord Rd NE
Concord, NC 28025-2934
Phone (704) 403-0200
500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone (704) 283-8193
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Atrium Health Union
- Carolinas Medical Center-Northeast
- Atrium Health Cleveland
- Carolinas Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Imaging Services, LLC | Current | Accepting new patients | |
| Cabarrus Urgent Care | Past | Accepting new patients | |
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
Interoperability endpoints
- vantonacci499331@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1003110677
Diagnostic Radiology
-
- Physiological Laboratory
- Rock Hill, SC
- NPI 1780113324
-
- Family Medicine Physician
- Concord, NC
- NPI 1922037845
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- Rehabilitation Hospital
- Charlotte, NC
- NPI 1790727550
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1902800329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONACCI",
"first_name": "VITTORIO",
"middle_name": "PAOLO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "22750",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "00504",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "00504",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "22750",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89128VY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.