ANTON LISHMANOV (M.D., PHD) – Cardiovascular Disease Physician, NPI 1275763757

ANTON LISHMANOV (M.D., PHD) is a healthcare provider. based in Hudson, Florida. specializing in INTERVENTIONAL CARDIOLOGY, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D., PHD. They hold a License No. 2012-01544 (NC). The NPI Number for ANTON LISHMANOV (M.D., PHD) is 1275763757

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANTON LISHMANOV (M.D., PHD)
NPI
1275763757
Phone
(277) 862-1080
Address
14100 FIVAY RD STE 160
Enumeration Date
20 July 2009
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278621080
Graduation Year
2005 (21 years ago)
PAC ID
4688825532
Group Practice PAC ID
7618005836
Professional Enrollment ID
I20170817003039
Address ID
FL346677194HU14100RDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:16State licenses:4Digital endpointsOther names

614 INTERVENTIONAL CARDIOLOGY in FL

Provider Addresses for ANTON LISHMANOV (M.D., PHD)

  • 14100 FIVAY RD STE 160

    HUDSON, FL 346677194

    Phone: (277) 862-1080

    Fax: (727) 863-3093

    Type: Mailing

  • 3900, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164331

    Phone: (904) 222-6656

    Fax: (904) 222-6657

    Type: Mailing

  • 1701 S SHACKLEFORD RD

    LITTLE ROCK, AR 722114335

    Phone: (501) 219-7755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,634.

Total Amount is formed as General ($1,634) + Research ($0) + Ownership ($0) = $1,634.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Inari Medical, Inc. ($625).

Total Amount

$1,634

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20121127000401IInternal MedicineNCTBD
I20170817003039IInterventional CardiologyFLTBD
I20190117000049ICardiovascular Disease (Cardiology)GATBD
I20201130002004IInterventional CardiologyARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes376238$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report286245$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function237233$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes20982$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17591$0
View full utilization report →

Insurance plans in this area (ZIP 34667)

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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: 7618005836View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify ANTON LISHMANOV (M.D., PHD) for billing?
Administrative and clinical systems typically use NPI 1275763757 for ANTON LISHMANOV (M.D., PHD).
Is ANTON LISHMANOV (M.D., PHD) currently accepting referrals based on NPI status?
Registry metadata lists ANTON LISHMANOV (M.D., PHD) as active.
How should patients interpret ANTON LISHMANOV (M.D., PHD)'s specialty?
The extract shows Cardiovascular Disease Physician for ANTON LISHMANOV (M.D., PHD). Clinical services aligned with this taxonomy classification.
Which community is linked to ANTON LISHMANOV (M.D., PHD)?
ANTON LISHMANOV (M.D., PHD) shows a connection to Hudson, Florida in registry-derived data.
Can I export ANTON LISHMANOV (M.D., PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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