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

Mrs. Anita Lucia Antoniolli, MD

Individual provider Surgery Physician · NPI 1306905963

Mrs. Anita Lucia Antoniolli, MD is a General Surgery in Troy, Michigan. Graduated from Wayne State University School of Medicine in 1993, 33 years ago. Practices with Barbara Ann Karmanos Cancer Institute, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
33
Trained at
Wayne State University School of Medicine
Licensed in
MI, OH
In the registry since
2006
Specialties on file
2
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

4967 Crooks Rd Ste 210
Troy, MI 48098-5804
Phone: (248) 687-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301061661 (MI)
Surgery Physician Taxonomy 208600000X · Licence 35080460 (OH)

Record details

NPI number1306905963
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Barbara Ann Karmanos Cancer Institute — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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