DR. ANICA ANTIC (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1457678641

DR. ANICA ANTIC (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 049493 (CT). The NPI Number for DR. ANICA ANTIC (M.D.) is 1457678641

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANICA ANTIC (M.D.)
NPI
1457678641
Phone
(203) 397-8000
Address
PO BOX 902
Enumeration Date
27 April 2010
Last Update Date
24 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604445100
Graduation Year
1991 (35 years ago)
PAC ID
7416088828
Group Practice PAC ID
0840369740
Professional Enrollment ID
I20110609000447
Address ID
CT063204700NE365XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

323 PATHOLOGY in CT

Provider Addresses for DR. ANICA ANTIC (M.D.)

  • PO BOX 902

    NEW HAVEN, CT 065040902

    Phone: (203) 397-8000

    Fax: (203) 389-1540

    Type: Mailing

  • 365 MONTAUK AVE

    NEW LONDON, CT 063204700

    Phone: (860) 444-5100

    Fax: (860) 444-3709

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110609000447IPathologyCTTBD
I20130802000272IPathologyRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,258531$0
88341Special stained specimen slides to examine tissue, each additional procedure29387$0
88342Special stained specimen slides to examine tissue, initial procedure177137$0
88344Special stained specimen slides to examine tissue, each multiplex procedure15042$0
88307Pathology examination of tissue using a microscope, moderately high complexity7555$0
View full utilization report →

Insurance plans in this area (ZIP 06504)

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Provider's Procedures

DR. ANICA ANTIC (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCT88304Pathology examination of tissue using a microscope, moderately low complexity7070
PATHOLOGYCT88307Pathology examination of tissue using a microscope, moderately high complexity4734
PATHOLOGYCT88312Special stained specimen slides to identify organisms including interpretation and report9381
PATHOLOGYCT88342Tissue or cell analysis by immunologic technique6661

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840369740View full group profile
NameSpecialtyState
P A T H O L O G YCT
Pathology, HematologyCT
P A T H O L O G YCT
P A T H O L O G YCT

Reviews

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Frequently asked questions

Where can patients find DR. ANICA ANTIC (M.D.)'s NPI?
You can confirm DR. ANICA ANTIC (M.D.) with NPI 1457678641; it appears in the national provider directory.
Is DR. ANICA ANTIC (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ANICA ANTIC (M.D.) work in?
You can think of DR. ANICA ANTIC (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ANICA ANTIC (M.D.)'s primary listing?
We display New Haven, Connecticut because that is what the record indicates for DR. ANICA ANTIC (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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