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

Matthew Antalis

Individual provider Internal Medicine Physician · NPI 1619470069

Matthew Antalis is an Internal Medicine in Lima, Ohio. Qualified in 2014, 12 years ago. Practices with Knd Development 59 LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2018

Practice location Address checks out

730 W Market St
Lima, OH 45801-4602
Phone: (419) 226-4431
Fax: (419) 226-4315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34015164 (OH)

Record details

NPI number1619470069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2018
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing addressPo Box 639882, Cincinnati, OH 45263-9882

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Knd Development 59 Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lima