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

Michael Antoniolli, MD

Individual provider Emergency Medicine Physician · NPI 1780930248

Michael Antoniolli, MD is an Emergency Medicine in Detroit, Michigan. Qualified in 2012, 14 years ago. Practices with Dupage Emergency Physicians Convenient Care LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
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

4201 Saint Antoine St 6G Uhc
Detroit, MI 48201-2153
Phone: (313) 993-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301101315 (MI)

Record details

NPI number1780930248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012
Mailing address4201 Saint Antoine St, 6g Uhc, Detroit, MI 48201-2153

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dupage Emergency Physicians Convenient Care Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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