DR. ALEXANDER D ANTALIS MD
NPI 1891780292
Emergency Medicine in Fort Wayne, IN
About Dr. Alexander D Antalis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDER D ANTALIS MD (NPI 1891780292) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (01032122A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alexander D Antalis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexander Antalis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wabash, IN 46992
- Reassigned Medicare billing, Indiana enrollment
- 57 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 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Alexander Antalis's NPI number?
The NPI number for Alexander Antalis is 1891780292. It was assigned to this individual provider in the NPPES registry on September 13, 2005.
Where is Alexander Antalis located?
Alexander Antalis practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.
What is Alexander Antalis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Alexander Antalis enrolled in Medicare?
Yes. Alexander Antalis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexander Antalis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Antalis reassigns Medicare benefits to Parkview Wabash Hospital, Inc. (Wabash, IN). 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 Alexander Antalis'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 Alexander Antalis was last updated on April 5, 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.
# Dr. Alexander D Antalis, MD · NPI 1891780292
Emergency Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1891780292 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01032122A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 RANDALLIA DR, Fort Wayne, IN 46805-4638
- **Phone:** (260) 373-4000 · **Fax:** (260) 482-4442
## 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:** Parkview Wabash Hospital, Inc. (NPI 1245259878, Wabash, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2016
- **Other identifiers:** Other 000000011080; Medicaid 0882166 (OH); Medicare ID-Type Unspecified 047840A (IN); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891780292) · Data from the CMS NPPES public registry.