REX ANTINOZZI (M.D.) – Gastroenterology Physician, NPI 1427119429

REX ANTINOZZI (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Gastroenterology Physician. They hold the professional credentials M.D.. They hold a License No. RA049843 (MI). The NPI Number for REX ANTINOZZI (M.D.) is 1427119429

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
REX ANTINOZZI (M.D.)
NPI
1427119429
Phone
(231) 935-5710
Address
4100 PARK FOREST DR
Enumeration Date
13 December 2006
Last Update Date
29 August 2008

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2313928705
Graduation Year
1982 (44 years ago)
PAC ID
6002720299
Group Practice PAC ID
2062403538
Professional Enrollment ID
I20040522000227
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for REX ANTINOZZI (M.D.)

  • Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States

    SUITE 208

    TRAVERSE CITY, MI 496847331

    Phone: (231) 935-5710

    Fax: (231) 935-9045

    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 3 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$168

General + Research + Ownership

Payments

3

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

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: 2004-05-22

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
I20040522000227IGastroenterologyMITBD

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
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito119118$0
99214Established patient office or other outpatient visit, 30-39 minutes10484$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk4242$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3434$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2323$0
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Insurance plans in this area (ZIP 49684)

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Provider's Procedures

REX ANTINOZZI (M.D.) performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI45378Diagnostic examination of large bowel using an endoscope3030
GASTROENTEROLOGYMI45385Removal of polyps or growths of large bowel using an endoscope114112

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: 2062403538View full group profile

Reviews

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Frequently asked questions

Does REX ANTINOZZI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — REX ANTINOZZI (M.D.) uses 1427119429.
Does the file indicate REX ANTINOZZI (M.D.) is practicing under active NPI?
Directory data currently reports REX ANTINOZZI (M.D.) as active.
What taxonomy line describes REX ANTINOZZI (M.D.)?
For research purposes, treat REX ANTINOZZI (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for REX ANTINOZZI (M.D.)?
REX ANTINOZZI (M.D.)'s geographic hint is Traverse City, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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