Individual provider Active NPI

Wafic Marwan Itani, MD

  • Cardiovascular Disease Physician
  • Des Moines, IA
National Provider Identifier
1700306024
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-50206 Issued in IA
Practice address
1301 Pennsylvania Ave Ste 100
Des Moines, IA 50316-2364
Phone
(515) 263-2400
NPI assigned
Jun 27, 2017
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-50206 IA Primary

Addresses

Primary practice location

1301 Pennsylvania Ave Ste 100
Des Moines, IA 50316-2364

Mailing address

1301 Pennsylvania Ave Ste 100
Des Moines, IA 50316-2364
Phone (515) 263-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20230630000217 IA Practitioner - Cardiovascular Disease (Cardiology) 0345585279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524

1301 Penn Ave
Suite 100
Des Moines, IA 50316-2364
Phone (515) 263-2400

2301 E 14TH St
Family Med Parks
Des Moines, IA 50316-1901
Phone (515) 262-0404

2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000

2515 SE State St
Ankeny, IA 50023-7079

301 E Hillcrest Ave
Family Med Indi
Indianola, IA 50125-9027
Phone (515) 961-3700

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

5900 NW 86TH St
Suite 100
Johnston, IA 50131-2284
Phone (515) 276-6133

6010 Mills Civic Pkwy
West Des Moines, IA 50266-8345
Phone (515) 221-7800

6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

840 E University Ave
FM East Des Moines
Des Moines, IA 50316-2304
Phone (515) 265-4211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-50206IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jul 17, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jul 17, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 263-2400

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • Direct secure messaging: witani968662@direct.unitypoint.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1700306024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162364",
            "telephone_number": "515-263-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162364",
            "telephone_number": "515-263-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANI",
        "first_name": "WAFIC",
        "middle_name": "MARWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-50206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.