Active NPI
Nabil S Itani, DO
- Internal Medicine Physician
- Titusville, FL
National Provider Identifier
1912009168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS9008
- Practice address
- 875 Century Medical Dr
Titusville, FL 32796-2142 - Phone
- (321) 268-8787
- Fax
- (321) 383-2424
- NPI assigned
- Sep 1, 2006
- Last updated
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS9008 | FL | Primary |
Addresses
Primary practice location
875 Century Medical Dr
Titusville, FL 32796-2142
Mailing address
875 Century Medical Dr
Titusville, FL 32796-2142
Phone (321) 268-8787
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3460876 | Other | FL | AETNA HMO |
| 82059 | Other | FL | BC/BS |
| P00083909 | Other | FL | RR MEDICARE |
| 7391566 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
875 Century Medical Dr
Titusville, FL 32796-2142
Phone (321) 268-8787
Hospital & facility affiliations
- Parrish Home Health
- Centerwell Home Health
- Nayar Health Care Melbourne LLC
- Health First Home Care
- Amedisys Home Health
- St. Francis Hospice
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9008 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nabil S. Itani DO PA | Internal Medicine | Current | Accepting new patients |
Locations
875 Century Medical Dr
Titusville, FL 32796
Phone (321) 268-8787
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Titusville, FL
- NPI 1427247451
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Melbourne, FL
- NPI 1518996461
-
dba Health First Home Care
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
dba St Francis Reflections Lifestage Care
- Community Based Hospice Care Agency
- Titusville, FL
- NPI 1598815839
-
dba Amedisys Home Health
- Home Health Agency
- Celebration, FL
- NPI 1063460889
-
- Home Health Agency
- Melbourne, FL
- NPI 1083328652
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1912009168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 CENTURY MEDICAL DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962142",
"telephone_number": "321-268-8787",
"fax_number": "321-383-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 CENTURY MEDICAL DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962142",
"telephone_number": "321-268-8787",
"fax_number": "321-383-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITANI",
"first_name": "NABIL",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS9008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3460876",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "82059",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00083909",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7391566",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.