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DR. JOHN WILLIAM ANTONETTI M.D.
NPI 1992916266
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active since May 25, 2007PECOS Enrolled
7777 FOREST LN STE C212, DALLAS, TX 75230(214) 708-6961(855) 592-2934 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John William Antonetti M.d. NPPES

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

DR. JOHN WILLIAM ANTONETTI M.D. (NPI 1992916266) is an individual plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (M6020) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2007).

NPPES Registry Identity

NPI1992916266
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JOHN WILLIAM ANTONETTICredential: M.D.
Location Address7777 FOREST LN STE C212Dallas, TX 75230-6836
Mailing Address7777 Forest Ln Bldg CDallas, TX 75230-2571 · (972) 566-2010 · Fax (855) 592-2934
Phone(214) 708-6961
Fax(855) 592-2934
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2007
Enumeration DateMay 25, 2007
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1992916266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · M6020
Definition
A surgeon who specializes in plastic and reconstructive surgery.
7777 FOREST LN STE C212, Dallas, TX 75230
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John William Antonetti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547352882
PECOS Enrollment IDI20070816000560
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.

Medicare Billing Reassignment

Medicare enrollment records show John Antonetti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinique Dallas Plastic Surgery PLLC
Same address
Plastic and Reconstructive Surgery
7777 FOREST LN STE C212
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
NPI 1689808941 (972) 566-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

CLINIQUE DALLAS PLASTIC SURGERY PLLC
Surgery (Plastic and Reconstructive Surgery)
7777 FOREST LN STE C212
DALLAS, TX 75230
Dallas County (972) 566-2010

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 John Antonetti's NPI number?

The NPI number for John Antonetti is 1992916266. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is John Antonetti located?

John Antonetti practices at 7777 Forest Ln Ste C212, Dallas, TX 75230. The listed phone number is (214) 708-6961.

What is John Antonetti's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is John Antonetti enrolled in Medicare?

Yes. John Antonetti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Antonetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Antonetti reassigns Medicare benefits to Clinique Dallas Plastic Surgery PLLC (Dallas, TX). 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 John Antonetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Antonetti accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list John Antonetti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Antonetti was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.