Fides D. Antonio, NP
NPI 1609462845ActiveIndividual· Nurse Practitioner· Walnut Creek, CA
Nurse Practitioner (NP) with Metro Infectious Disease Consultants LLC and 1 other group, practicing in Walnut Creek, California. Medicare paid $408,308 for services to 13 patients in 2024.
Overview
| NPI | 1609462845 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Dec 11, 2020 |
| Last updated in NPPES | Dec 11, 2020 |
| Certified by provider | Dec 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95015546 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 20,617 across 12 procedure codes |
| Paid by Medicare | $408,308 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Metro Infectious Disease Consultants LLCBrookfield, WI · 389 clinicians
- Mark H Mazur MD and Barry Statner MD A Professional CorporationThousand Oaks, CA · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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