DOMINIC JOSEPH ANTONACCI (MD) – Internal Medicine Physician, NPI 1487148870
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DOMINIC JOSEPH ANTONACCI (MD)
7435 W Talcott Ave
Chicago, IL 606313707
Phone: (262) 292-3151
Fax: (706) 653-1162
Type: Location
PO BOX 19636
SPRINGFIELD, IL 627949636
Phone:
Type: Mailing
Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States
SPRINGFIELD, IL 627023757
Phone: (217) 545-3000
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone:
Type: Mailing
155 E BRUSH HILL RD
ELMHURST, IL 601265658
Phone: (331) 221-5420
Fax: (331) 221-3701
Type: Location
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: 2024-07-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240708000083 | I | Diagnostic Radiology | IL | TBD |
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.
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 60631)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | OR | |
| Interventional Radiology | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Nurse Practitioner | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL |
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