MR. MICHAEL ADAM ANTONIS (PA) – Physician Assistant, NPI 1619569738

MR. MICHAEL ADAM ANTONIS (PA) is a healthcare provider. based in Sebastian, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9113950 (FL). The NPI Number for MR. MICHAEL ADAM ANTONIS (PA) is 1619569738

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL ADAM ANTONIS (PA)
NPI
1619569738
Phone
(772) 228-8480
Address
8701 N US HIGHWAY 1
Enumeration Date
9 February 2021
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722288480
Graduation Year
2020 (6 years ago)
PAC ID
6204234586
Group Practice PAC ID
3678614344
Professional Enrollment ID
I20211018002646
Address ID
FL329587524SE8701X1XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. MICHAEL ADAM ANTONIS (PA)

  • 8701 N US HIGHWAY 1

    SEBASTIAN, FL 329587524

    Phone: (772) 228-8480

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,041.

Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($357).

Total Amount

$1,041

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2021-10-18

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
I20211018002646IPhysician AssistantFLTBD

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 32958)

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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: 3678614344View full group profile
NameSpecialtyState
Physician AssistantFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

Can I cross-check MR. MICHAEL ADAM ANTONIS (PA) using NPI 1619569738?
NPI 1619569738 belongs to MR. MICHAEL ADAM ANTONIS (PA); compare other details if you need extra assurance.
Would MR. MICHAEL ADAM ANTONIS (PA) appear as active to a payer?
You can treat MR. MICHAEL ADAM ANTONIS (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. MICHAEL ADAM ANTONIS (PA)?
MR. MICHAEL ADAM ANTONIS (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. MICHAEL ADAM ANTONIS (PA)?
Travel planning: use Sebastian, Florida as the reference point for MR. MICHAEL ADAM ANTONIS (PA), then confirm.
Can I trust this NPI listing for MR. MICHAEL ADAM ANTONIS (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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