Individual provider Active NPI

Andy Itsara, MD, PHD

  • Medical Oncology Physician
  • Huntsville, AL
National Provider Identifier
1013250786
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D0088300 Issued in MD
Practice address
1016 Harrison Ave SE
Huntsville, AL 35801-3139
Phone
(617) 283-3402
NPI assigned
Apr 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D0088300 MD Primary
Hematology (Internal Medicine) Physician 207RH0000X D0088300 MD

Addresses

Primary practice location

1016 Harrison Ave SE
Huntsville, AL 35801-3139

Mailing address

1016 Harrison Ave SE
Huntsville, AL 35801-3139
Phone (617) 283-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1013250786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 HARRISON AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013139",
            "telephone_number": "617-283-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 HARRISON AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013139",
            "telephone_number": "617-283-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITSARA",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0088300",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MD",
            "license": "D0088300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.