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ALEXIS GONZALEZ ANTONUCCI
NPI 1538908371
Internal Medicine in Charleston, SC

Active since May 21, 2024PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-7365 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Alexis Gonzalez Antonucci NPPES

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

ALEXIS GONZALEZ ANTONUCCI (NPI 1538908371) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL95043) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538908371
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEXIS GONZALEZ ANTONUCCI
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-5026
Mailing Address169 Ashley Avenue, Room 202 Main Hospital Msc333Charleston, Sc, SC 29425
Phone(843) 792-7365
Sole ProprietorYes
Enumeration DateMay 21, 2024
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1538908371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL95043
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 ASHLEY AVE RM 202, Charleston, SC 29425
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Gonzalez Antonucci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

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 Alexis Antonucci's NPI number?

The NPI number for Alexis Antonucci is 1538908371. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Alexis Antonucci located?

Alexis Antonucci practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-7365.

What is Alexis Antonucci's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alexis Antonucci enrolled in Medicare?

Yes. Alexis Antonucci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Antonucci was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.