ELIZABETH A ANTOO MD
NPI 1760422240
Family Medicine in Kenosha, WI
About Elizabeth A Antoo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH A ANTOO MD (NPI 1760422240) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (49010) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth A Antoo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Antoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Elizabeth Antoo's NPI number?
The NPI number for Elizabeth Antoo is 1760422240. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Elizabeth Antoo located?
Elizabeth Antoo practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7000.
What is Elizabeth Antoo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elizabeth Antoo enrolled in Medicare?
Yes. Elizabeth Antoo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Antoo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Antoo reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Elizabeth Antoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Antoo was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elizabeth A Antoo, MD · NPI 1760422240
Family Medicine physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1760422240 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 49010 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 75TH ST, Kenosha, WI 53142-7884
- **Phone:** (262) 948-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2021
- **Other identifiers:** Medicaid 34835200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1760422240) · Data from the CMS NPPES public registry.