ANTENEH M ADDISU (MD) – Internal Medicine Physician, NPI 1922052471

ANTENEH M ADDISU (MD) is a healthcare provider. based in Gainesville, Florida. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME75316 (FL). The NPI Number for ANTENEH M ADDISU (MD) is 1922052471

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
ANTENEH M ADDISU (MD)
NPI
1922052471
Phone
(352) 265-0651
Address
1600 SW ARCHER RD
Enumeration Date
20 May 2006
Last Update Date
24 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522408555
Graduation Year
1990 (36 years ago)
PAC ID
2668464611
Group Practice PAC ID
0749531598
Professional Enrollment ID
I20040331001021
Address ID
FL344713716OC150XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

731 INFECTIOUS DISEASE in FL

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Provider Addresses for ANTENEH M ADDISU (MD)

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    BOX 100277

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0651

    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)

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: 2004-03-31

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
I20040331001021IInfectious DiseaseFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes560185$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13586$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8281$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 0749531598View full group profile
NameSpecialtyState
Infectious DiseaseNJ
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL
Infectious DiseaseFL
Internal Medicine, HospitalistFL

Reviews

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Frequently asked questions

Can I use this page to confirm ANTENEH M ADDISU (MD)'s NPI?
Yes. ANTENEH M ADDISU (MD) is listed with NPI 1922052471 in the public NPI dataset.
Does the file indicate ANTENEH M ADDISU (MD) is practicing under active NPI?
Directory data currently reports ANTENEH M ADDISU (MD) as active.
What is ANTENEH M ADDISU (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for ANTENEH M ADDISU (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ANTENEH M ADDISU (MD)?
ANTENEH M ADDISU (MD)'s geographic hint is Gainesville, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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