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

Individual provider Radiation Oncology Physician · NPI 1619181369

John Vito Antonucci, MD is a Radiation Oncology in Pontiac, Michigan. Graduated from Tufts University School of Medicine in 2003, 23 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
23
Trained at
Tufts University School of Medicine
Licensed in
MI
In the registry since
2007
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

70 Fulton St
Pontiac, MI 48341-2755
Phone: (248) 338-0300
Fax: (248) 338-0663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 4301081739 (MI)

Record details

NPI number1619181369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESOctober 29, 2012
Mailing address2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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