KENNETH ANDREW ANTONS M.D.
NPI 1982668182
Internal Medicine in San Diego, CA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
4405 VANDEVER AVE, SAN DIEGO, CA 92120(800) 290-5000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Andrew Antons M.d. NPPES

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

KENNETH ANDREW ANTONS M.D. (NPI 1982668182) is an individual internal medicine provider in San Diego, California, licensed in California (A84454) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2002).

NPPES Registry Identity

NPI1982668182
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH ANDREW ANTONSCredential: M.D.
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address4405 Vandever AveSan Diego, CA 92120-3315 · (800) 290-5000
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2002
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 1, 2021
NPI 1982668182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A84454
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4405 VANDEVER AVE, San Diego, CA 92120

Other Identifiers 1

Medicaid00A844540CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Andrew Antons M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941231963
PECOS Enrollment IDI20050829000931
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120

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 Kenneth Antons's NPI number?

The NPI number for Kenneth Antons is 1982668182. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Kenneth Antons located?

Kenneth Antons practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (800) 290-5000.

What is Kenneth Antons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Antons enrolled in Medicare?

Yes. Kenneth Antons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Antons was last updated on December 1, 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.