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LISA F ANTONELLI MD
NPI 1639169618
Internal Medicine - Cardiovascular Disease in Dorchester, MA

Active since October 21, 2005PECOS Enrolled
2100 DORCHESTER AVENUE, SMG - CARNEY HOSPITAL, DORCHESTER, MA 02124(617) 296-4000(617) 474-3860 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa F Antonelli Md NPPES

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

LISA F ANTONELLI MD (NPI 1639169618) is an individual cardiovascular disease provider in Dorchester, Massachusetts, licensed in Massachusetts (72272) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639169618
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameLISA F ANTONELLICredential: MD
Location Address2100 DORCHESTER AVENUE, SMG - CARNEY HOSPITALDorchester, MA 02124
Mailing Address2100 Dorchester Avenue, Smg - Carney HospitalDorchester, MA 02124 · (617) 296-4000 · Fax (617) 474-3860
Phone(617) 296-4000
Fax(617) 474-3860
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateNovember 4, 2011
✔ NPI 1639169618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 72272
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2100 DORCHESTER AVENUE, Dorchester, MA 02124
Open in Google Maps ↗

Other Identifiers 6

Other60264MA · Hphc
Medicaid3060284MA
Medicare UPINE68930
OtherJ09499MA · Bcbs
Medicare ID-Type UnspecifiedJ09499MA
Other755370MA · Tufts

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa F Antonelli Md 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 02124 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 10

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

DR. CHINH VAN LE M.D.
Family Medicine
2100 DORCHESTER AVENUE, FAMILY MEDICINE
DORCHESTER, MA 02124
Suffolk County (617) 506-4970
GLENNON JOHN OGRADY
Family Medicine
2100 DORCHESTER AVENUE, FAMILY MEDICINE
DORCHESTER, MA 02124
Suffolk County (617) 506-4970
DR. PADMA GULUR MD
Pain Medicine (Interventional Pain Medicine)
2100 DORCHESTER AVENUE, 7TH FLOOR
DORCHESTER, MA 02124
Suffolk County (617) 506-2027
GREATER BOSTON UROLOGY, LLC
Urology
2100 DORCHESTER AVENUE, SUITE 2206
DORCHESTER, MA 02124
Suffolk County (617) 296-2222
DR. COLLEEN MOORE MD
Ophthalmology
2100 DORCHESTER AVENUE, CARNEY HOSPITAL
BOSTON, MA 02124
Suffolk County (617) 506-2726
CARITAS CARNEY HOSPITAL-PSYCHIATRY
Psychiatric Unit
2100 DORCHESTER AVENUE
DORCHESTER, MA 02124
Suffolk County (617) 296-4000
OLGA VOLFSON M.D.
Anesthesiology
2100 DORCHESTER AVENUE, 7TH FLOOR
DORCHESTER, MA 02124
Suffolk County (617) 506-2027
TARANGA GHOSH M.D.
Hospitalist
2100 DORCHESTER AVENUE, CARNEY HOSPITAL
DORCHESTER, MA 02124
Suffolk County (617) 296-4000

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 Lisa Antonelli's NPI number?

The NPI number for Lisa Antonelli is 1639169618. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Lisa Antonelli located?

Lisa Antonelli practices at 2100 Dorchester Avenue Smg - Carney Hospital, Dorchester, MA 02124. The listed phone number is (617) 296-4000.

What is Lisa Antonelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lisa Antonelli enrolled in Medicare?

Yes. Lisa Antonelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Antonelli was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.