1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Emergency Medicine
  6. NPI Profile

DR. ALEXANDER D ANTALIS MD
NPI 1891780292
Emergency Medicine in Fort Wayne, IN

Active since September 13, 2005PECOS Enrolled
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1891780292
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ALEXANDER D ANTALISCredential: MD
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Dr, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 373-4000
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateApril 5, 2016
✔ NPI 1891780292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01032122A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 RANDALLIA DR, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 8

Other000000011080Mplan
Medicaid0882166OH
Medicare ID-Type Unspecified047840AIN
Medicaid200033290IN
Medicaid104874703MI
Other000000082535IN · Anthem
Medicare ID-Type Unspecified930009897Rr Medicare
Medicare UPINE03598IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander D Antalis 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 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

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.

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.