NEENU ANTONY (MD) – Internal Medicine Physician, NPI 1114555216

NEENU ANTONY (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME174030 (FL). The NPI Number for NEENU ANTONY (MD) is 1114555216

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NEENU ANTONY (MD)
NPI
1114555216
Phone
(407) 647-2346
Address
3047 AARON COVE CT
Enumeration Date
1 April 2020
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076472346
Graduation Year
2017 (9 years ago)
PAC ID
6204281553
Group Practice PAC ID
0345493623
Professional Enrollment ID
I20250907000097
Address ID
FL344524720IN502XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for NEENU ANTONY (MD)

  • 3047 AARON COVE CT

    JACKSONVILLE, FL 322240293

    Phone: (407) 647-2346

    Type: Mailing

  • 525 TECHNOLOGY PARK STE 109

    LAKE MARY, FL 327467107

    Phone: (407) 647-2346

    Type: Location

  • 7600 RIVER RD

    NORTH BERGEN, NJ 070476217

    Phone: (201) 854-5000

    Type: Mailing

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: 2025-09-07

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
I20231006001606IInternal MedicineILTBD
I20250907000097IInternal MedicineFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5822$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 0345493623View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Family Practice, Hospitalist, Family Practice, Internal MedicineFL
Nurse PractitionerFL
-FL
Hospitalist, Internal MedicineNY
Internal MedicineFL
Internal Medicine, HospitalistFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does NEENU ANTONY (MD) have a public NPI I can cite?
Public records show NEENU ANTONY (MD) under NPI 1114555216.
Is NEENU ANTONY (MD) currently accepting referrals based on NPI status?
Registry metadata lists NEENU ANTONY (MD) as active.
What does the directory say NEENU ANTONY (MD) does?
Insurance directories may phrase it differently, but here NEENU ANTONY (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NEENU ANTONY (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, NEENU ANTONY (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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