JONATHAN ANTONETTI
NPI 1124552856
Surgery - Plastic and Reconstructive Surgery in Birmingham, AL

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
500 22ND ST S # JNWB103, BIRMINGHAM, AL 35233(205) 516-3521 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Apr 19, 2017 (2 updates tracked since 2017).

About Jonathan Antonetti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN ANTONETTI (NPI 1124552856) is an individual plastic and reconstructive surgery provider in Birmingham, Alabama, licensed in Alabama (37955) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Alabama School Of Medicine (2017).

NPPES Registry Identity

NPI1124552856
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJONATHAN ANTONETTI
Location Address500 22ND ST S # JNWB103Birmingham, AL 35233-3110
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1124552856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in AL · 37955
Definition
A surgeon who specializes in plastic and reconstructive surgery.
500 22ND ST S # JNWB103, Birmingham, AL 35233

Secondary Practice Location 1

Location 1817 Princeton Ave SW, POB II, Suite 106Birmingham, AL 35211-1333 · Phone (205) 783-3191

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Antonetti 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.

PECOS PAC ID1052819786
PECOS Enrollment IDI20250812000681
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jonathan Antonetti's NPI number?

The NPI number for Jonathan Antonetti is 1124552856. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Jonathan Antonetti located?

Jonathan Antonetti practices at 500 22nd St S # Jnwb103, Birmingham, AL 35233. The listed phone number is (205) 516-3521.

What is Jonathan Antonetti's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jonathan Antonetti enrolled in Medicare?

Yes. Jonathan Antonetti 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.

What insurance does Jonathan Antonetti accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jonathan Antonetti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Antonetti was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.