DR. ANTONIOUS S ATTALLAH (M.D.) – Interventional Cardiology Physician, NPI 1306081138

DR. ANTONIOUS S ATTALLAH (M.D.) is a healthcare provider. based in Roseville, Michigan. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. BP10024918 (TX). The NPI Number for DR. ANTONIOUS S ATTALLAH (M.D.) is 1306081138

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONIOUS S ATTALLAH (M.D.)
NPI
1306081138
Phone
(586) 775-4594
Address
25195 KELLY ROAD
Enumeration Date
8 December 2008
Last Update Date
2 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867754594
Graduation Year
2006 (20 years ago)
PAC ID
9335384064
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20130328000154
Address ID
MI480664909RO25195RDXX301
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

305 INTERVENTIONAL CARDIOLOGY in MI

Loading map...

Provider Addresses for DR. ANTONIOUS S ATTALLAH (M.D.)

  • 25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States

    SUITE A

    ROSEVILLE, MI 480664909

    Phone: (586) 775-4594

    Fax: (586) 775-4506

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $52,863.

Total Amount is formed as General ($52,863) + Research ($0) + Ownership ($0) = $52,863.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($20,221).

Total Amount

$52,863

General + Research + Ownership

Payments

133

Total payment records

General Amount

$52,863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2013-03-28

PECOS data refreshed: 2026-06-15

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
I20130328000154IInterventional CardiologyMITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only684473$0
99214Established patient office or other outpatient visit, 30-39 minutes315191$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes169117$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8076$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function6666$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

Loading plans...

Provider's Procedures

DR. ANTONIOUS S ATTALLAH (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYMI92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2422
INTERVENTIONAL CARDIOLOGYMI93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart4645

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: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
N E U R O S U R G E R YMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. ANTONIOUS S ATTALLAH (M.D.)'s NPI?
You can confirm DR. ANTONIOUS S ATTALLAH (M.D.) with NPI 1306081138; it appears in the national provider directory.
Does this profile mean DR. ANTONIOUS S ATTALLAH (M.D.) is currently active?
Yes — DR. ANTONIOUS S ATTALLAH (M.D.) appears active in the national provider directory.
What does DR. ANTONIOUS S ATTALLAH (M.D.) treat or focus on?
Patients typically see DR. ANTONIOUS S ATTALLAH (M.D.) under the specialty Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ANTONIOUS S ATTALLAH (M.D.)'s primary listing?
We display Roseville, Michigan because that is what the record indicates for DR. ANTONIOUS S ATTALLAH (M.D.).
Is DR. ANTONIOUS S ATTALLAH (M.D.) a real provider?
This page reflects official NPPES data for NPI 1306081138. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

Eastside Cardiology PC

Cardiovascular Disease Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1861493199

NARAYANAN VIKRAMAN (MD)

Cardiovascular Disease Physician
18325, East 10 Mile Road, Roseville, Macomb County, Michigan, 48021, United States
NPI: 1336141977

SRIHARI RAVI (MD)

Cardiovascular Disease Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1184626731

HIROSHI YAMASAKI (MD)

Cardiovascular Disease Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1538161187

VAMSHIDHAR GUDUGUNTLA (MD)

Cardiovascular Disease Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1174525729

DR. MOUHAMMED JOUMAA (MD)

Interventional Cardiology Physician
50505 SCHOENHERR RD
NPI: 1316068653

DR. HANI KADOR (M.D.)

Interventional Cardiology Physician
25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States
NPI: 1235360835

MOHAMED ATEF EL-HADDAD (M.D)

Cardiovascular Disease Physician
25195 KELLY RD
NPI: 1356573091

PHILIP STANLEY VENDITTELLI (D.O.)

Interventional Cardiology Physician
18303 E 10 MILE RD STE 100
NPI: 1871949925