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MARK D ANTENUCCI DPM PC
NPI 1548624372
Podiatrist in Roswell, NM

Active since April 07, 2016
313 W COUNTRY CLUB RD, SUITE 7, ROSWELL, NM 88201(575) 624-2398(575) 624-0655 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark D Antenucci Dpm Pc NPPES

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

MARK D ANTENUCCI DPM PC (NPI 1548624372) is a healthcare organization registered as a podiatrist in Roswell, New Mexico and active in the NPI registry since April 2016. The organization lists Cristina Antenucci, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548624372
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMARK D ANTENUCCI DPM PC
Location Address313 W COUNTRY CLUB RD, SUITE 7Roswell, NM 88201-5804
Mailing Address313 W Country Club Rd, Suite 7Roswell, NM 88201-5804 · (575) 624-2398 · Fax (575) 624-0655
Phone(575) 624-2398
Fax(575) 624-0655
Organization SubpartNo
Authorized OfficialCristina AntenucciOffice Manager · (575) 624-2398
Enumeration DateApril 7, 2016
✔ NPI 1548624372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
313 W COUNTRY CLUB RD, Roswell, NM 88201
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Other Identifiers 2

Medicare UPINT41065NM
Medicaid55657NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Antenucci Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark D Antenucci DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Antenucci, D.P.M
Podiatry
NPI 1760490759
313 WEST COUNTRY CLUB RD. STE. 7
Roswell, NM 88201
(575) 624-2398
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark D Antenucci Dpm PC's NPI number?

The NPI number for Mark D Antenucci Dpm PC is 1548624372. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Mark D Antenucci Dpm PC located?

Mark D Antenucci Dpm PC is located at 313 W Country Club Rd Suite 7, Roswell, NM 88201. The listed phone number is (575) 624-2398.

What is Mark D Antenucci Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mark D Antenucci Dpm PC enrolled in Medicare?

Yes. Mark D Antenucci Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark D Antenucci Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Mark D Antenucci Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark D Antenucci Dpm PC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.