RYAN ANTONAWICH DO
NPI 1194454868
Family Medicine - Sports Medicine in Omaha, NE

Q: What is Ryan Antonawich's NPI number?

The NPI number for Ryan Antonawich is 1194454868. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Q: What is Ryan Antonawich's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Antonawich was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment

983075 NEBRAKSA MEDICAL CENTER, OMAHA, NE 68198(402) 559-0268 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ryan Antonawich Do NPPES

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

RYAN ANTONAWICH DO (NPI 1194454868) is an individual sports medicine provider in Omaha, Nebraska, licensed in Nebraska (10177) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Essexville, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1194454868

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameRYAN ANTONAWICHCredential: DO

Location Address983075 NEBRAKSA MEDICAL CENTEROmaha, NE 68198-2151

Mailing Address983075 Nebraksa Medical CenterOmaha, NE 68198-3075 · (402) 559-0268

Phone(402) 559-0268

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021

Enumeration DateJune 8, 2022

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1194454868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NE · 10177

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 5101027619 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5151015844 (MI)

983075 NEBRAKSA MEDICAL CENTER, Omaha, NE 68198

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Secondary Practice Location 1

Location 11458 W Center Rd Ste 1Essexville, MI 48732-2151 · Phone (989) 895-4625 · Fax (989) 895-4626

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

Ryan Antonawich Do 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 ID8224418678

PECOS Enrollment IDI20240627001085

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON CLAIRE EIERMAN MD

Student in an Organized Health Care Education/Training Program