Active NPI
Eden Biltibo, MD
- Hematology & Oncology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 56465
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-0001 - Phone
- (615) 322-3000
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56465 | TN | |
| Hematology & Oncology Physician | 207RH0003X | 69688 | WI | |
| Hospitalist Physician | 208M00000X | 56465 | TN | |
| Hematology & Oncology Physician | 207RH0003X | 56465 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089
Phone (615) 989-4311
Other practice location 2
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
Other practice location 3
1005 Dr. D. B. Todd, Jr. Boulevard
Nashville, TN 37208-3599
Phone (615) 327-6277
Other practice location 4
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-5533
Other practice location 5
9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone (414) 805-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104244458 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebiltibo572812@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone (615) 322-3000
Hospital & facility affiliations
- Vanderbilt University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69688 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt Health Clinicians, LLC | Hematology & Oncology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
Dept AT 40379
Atlanta, GA 31192
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
1003 Reserve Blvd
Spring Hill, TN 37174
Phone (615) 875-0358
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1518726900
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1104244458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "300 Steam Plant Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370663089",
"country_code": "US",
"telephone_number": "615-989-4311",
"fax_number": "615-989-4661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W180N8085 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513518",
"country_code": "US",
"telephone_number": "262-251-1000",
"fax_number": "262-518-5052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Dr. D. B. Todd, Jr. Boulevard",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372083599",
"country_code": "US",
"telephone_number": "615-327-6277",
"fax_number": "615-327-6733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530959274",
"country_code": "US",
"telephone_number": "262-334-5533",
"fax_number": "262-836-7301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53226",
"country_code": "US",
"telephone_number": "414-805-4600",
"fax_number": "414-805-4606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILTIBO",
"first_name": "EDEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "56465",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "69688",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "56465",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "56465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104244458",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebiltibo572812@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.