DR. ANTONETTE OTIS WHITEHEAD M.D.
NPI 1073707071
Obstetrics & Gynecology in New York, NY
About Dr. Antonette Otis Whitehead M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTONETTE OTIS WHITEHEAD M.D. (NPI 1073707071) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (261819) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Antonette Otis Whitehead M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Antonette Whitehead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10012
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Woodbury, NY 11797
- Reassigned Medicare billing, New York enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10012
NEW YORK, NY 10012
NEW YORK, NY 10012
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antonette Whitehead's NPI number?
The NPI number for Antonette Whitehead is 1073707071. It was assigned to this individual provider in the NPPES registry on September 2, 2007.
Where is Antonette Whitehead located?
Antonette Whitehead practices at 568 Broadway Suite 304, New York, NY 10012. The listed phone number is (313) 215-3088.
What is Antonette Whitehead's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Antonette Whitehead enrolled in Medicare?
Yes. Antonette Whitehead is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Antonette Whitehead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonette Whitehead reassigns Medicare benefits to 2 organizations: Downtown Women Ob Gyn Associates LLP (New York, NY) and Square Care Medical Group, LLP (Woodbury, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonette Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Antonette Whitehead was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Antonette Otis Whitehead, M.D. · NPI 1073707071
Obstetrics & Gynecology physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 2, 2007.
## Identity
- **NPI:** 1073707071 (Entity type: Individual)
- **Enumerated:** September 2, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 261819 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 568 BROADWAY, SUITE 304, New York, NY 10012-3225
- **Phone:** (313) 215-3088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Downtown Women Ob Gyn Associates LLP (NPI 1104015536, New York, NY); Square Care Medical Group, LLP (NPI 1457392763, Woodbury, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 23, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1073707071) · Data from the CMS NPPES public registry.