Bilal Itani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16425 Issued in WV

Practice address

233 S Mineral St
Keyser, WV 26726-2643

Phone

(304) 788-0202

Fax

(304) 788-4377

NPI assigned

Aug 10, 2005

Reactivated

Apr 11, 2006

Last updated

Jan 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bitani@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant Memorial Hospital Inc

  • Critical Access Hospital
  • Petersburg, WV
  • NPI 1013603919
  Medicare reassignment NPD
• Bilal a Itani MD PLLC

  • Pediatrics Physician
  • Keyser, WV
  • NPI 1104361799
  NPD (past) Authorized official
• Grant Memorial Hospital

  • Internal Medicine Physician
  • Petersburg, WV
  • NPI 1316329121

  Pediatrics

  NPD
• Grant Memorial Hospital

  • Critical Access Hospital
  • Petersburg, WV
  • NPI 1598763666
  NPD
• Grant Memorial Hospital

  dba Grant Memorial Hospital Bensenhaver Clinic

  • Family Medicine Physician
  • Petersburg, WV
  • NPI 1801592126
  NPD
• Grant Memorial Hospital Inc

  • Family Medicine Physician
  • Petersburg, WV
  • NPI 1679269583
  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1619978731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-788-0202",
            "fax_number": "304-788-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-788-0202",
            "fax_number": "304-788-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANI",
        "first_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2017-01-24",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "16425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043316000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Hulson
• Michelle Humphress
• Daniel Eugene Hurley, D.O.
• Christopher Alan Iames, RPH
• Kamryn Morgan Imperio
• Teresa Ann James
• Michele Lynn Jamison
• Anna Marie Jefts
• Erin Marie Jenkins
• Dawn Johnson

• Pediatrics Physician in Keyser, WV
• Providers in Keyser, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.