Active NPI
Jalal Itani, MD
- Diagnostic Radiology Physician
- Oklahoma City, OK
National Provider Identifier
1770080251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- U8744
- Practice address
- 1200 Everett Dr
Oklahoma City, OK 73104 - Phone
- (405) 271-5125
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD29371 | ME | |
| Diagnostic Radiology Physician | 2085R0202X | 34684 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | 34653 | NH | |
| Diagnostic Radiology Physician | 2085R0202X | 104313 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | U8744 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01096344A | IN |
Addresses
Primary practice location
1200 Everett Dr
Oklahoma City, OK 73104
Mailing address
1200 Everett Dr
Oklahoma City, OK 73104-5047
Phone (405) 271-5125
Other practice location 1
1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125
Other practice location 2
8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-6176
Other practice location 3
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Other practice location 4
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 482-7800
Other practice location 5
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770080251 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Texas a & M University System, HSC, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Oklahoma City, OK 73107
Phone (907) 749-7474
Flower Mound, TX 75022
Phone (260) 432-1568
1000 N 16TH St
230 New Castle Family and Internal Medici
New Castle, IN 47362-4319
Phone (765) 599-3435
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
2712 McPherson LN
Flower Mound, TX 75022-4306
Phone (269) 781-4271
313 Ridgewood Dr
Lewisville, TX 75067-8244
Phone (501) 609-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104313 | GA | MD | Diagnostic Radiology Physician |
| 01096344A | IN | MD | Diagnostic Radiology Physician |
| MD29371 | ME | MD | Diagnostic Radiology Physician |
| 34653 | NH | MD | Diagnostic Radiology Physician |
| U8744 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Tulsa X-Ray Laboratory PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| St. Vincent Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| CHI St. Vincent Medical Group Hot Springs | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| St Vincent Physician Clinics LLC | Past | Accepting new patients |
Locations
500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1000 N 16th St
Ste 230
New Castle, IN 47362
Phone (765) 599-3435
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
489 State St
Bangor, ME 04401
Phone (207) 973-8837
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
Organizations & group practices 16
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.
-
- Hospitalist Physician
- Linton, IN
- NPI 1942703004
Diagnostic Radiology, TX
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
Diagnostic Radiology, TX
-
- Family Medicine Physician
- New Castle, IN
- NPI 1891570537
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1770080251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-5125"
}
],
"practiceLocations": [
{
"address_1": "1200 Everett Dr",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "73104",
"country_code": "US",
"telephone_number": "405-271-5125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8200 Walnut Hill Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752314426",
"country_code": "US",
"telephone_number": "214-345-6176",
"fax_number": "214-345-5167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "489 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016616",
"country_code": "US",
"telephone_number": "207-973-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-482-7800",
"fax_number": "207-482-7898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Reid Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-935-8895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ITANI",
"first_name": "JALAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD29371",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "34684",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "34653",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "104313",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "U8744",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01096344A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770080251",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.