DR. ANTONIO LUIS (M.D.) – Internal Medicine Physician, NPI 1396971370

DR. ANTONIO LUIS (M.D.) is a healthcare provider. based in Pinellas park, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD445187 (PA). The NPI Number for DR. ANTONIO LUIS (M.D.) is 1396971370

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONIO LUIS (M.D.)
NPI
1396971370
Phone
(727) 753-7787
Address
7800 66TH ST N STE 204
Enumeration Date
4 June 2009
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7277537787
Graduation Year
2012 (14 years ago)
PAC ID
4981868452
Group Practice PAC ID
8628434503
Professional Enrollment ID
I20210806000040
Address ID
FL337812101PI7800XNXXX419
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. ANTONIO LUIS (M.D.)

  • 7800 66TH ST N STE 204

    PINELLAS PARK, FL 337812101

    Phone: (727) 753-7787

    Fax: (833) 471-3023

    Type: Mailing

  • 1246 Ray Charles Blvd

    Tampa, FL 336023028

    Phone: (727) 753-7787

    Fax: (833) 471-3023

    Type: Location

  • Walnut Street, Fitler Square, Center City, Philadelphia, Philadelphia County, Pennsylvania, 19101, United States

    PHILADELPHIA, PA 191075176

    Phone: (215) 829-0101

    Fax: (215) 454-3625

    Type: Mailing

  • 106 ARLINGTON AVE E

    OLDSMAR, FL 346773621

    Phone: (678) 989-7151

    Fax: (727) 476-7027

    Type: Mailing

  • 13777 BELCHER RD S

    LARGO, FL 337714096

    Phone: (678) 989-7151

    Fax: (727) 476-7027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,347.

Total Amount is formed as General ($1,347) + Research ($0) + Ownership ($0) = $1,347.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ViiV Healthcare Company ($780).

Total Amount

$1,347

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2021-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210806000040IInternal 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33781)

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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: 8628434503View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANTONIO LUIS (M.D.)?
DR. ANTONIO LUIS (M.D.) — NPI 1396971370 — is the standard way to identify this listing.
Is DR. ANTONIO LUIS (M.D.) listed as active for patients and plans?
The listing shows DR. ANTONIO LUIS (M.D.) as active in the NPI system.
What is DR. ANTONIO LUIS (M.D.) best known for clinically?
Directory data describes DR. ANTONIO LUIS (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANTONIO LUIS (M.D.) on a map?
Expect Pinellas Park, Florida as a primary anchor for DR. ANTONIO LUIS (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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