Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Ugo Antonucci, MD

Individual provider Diagnostic Radiology Physician · NPI 1588734289

Dr. Michael Ugo Antonucci, MD is a Diagnostic Radiology in Charleston, South Carolina. Graduated from University of Florida College of Medicine in 2005, 21 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in California and South Carolina.

Years since qualifying
21
Trained at
University of Florida College of Medicine
Licensed in
CA, SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 36833 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 36833 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A120665 (CA)

Record details

NPI number1588734289
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing addressPo Box 751461, Charlotte, NC 28275-1461

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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