EDEN BILTIBO MD
NPI 1104244458
Internal Medicine - Hematology & Oncology in Nashville, TN

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, Jul 17, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Eden Biltibo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN BILTIBO MD (NPI 1104244458) is an individual hematology & oncology provider in Nashville, Tennessee, licensed in Tennessee (56465) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1104244458
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameEDEN BILTIBOCredential: MD
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 3, 2014
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1104244458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in TN · 56465✔ Licensed in WI · 69688
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56465 (TN)
Also ListedHospitalistTaxonomy 208M00000X · License 56465 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Locations 5

Location 1300 Steam Plant Rd Ste 300Gallatin, TN 37066-3089 · Phone (615) 989-4311 · Fax (615) 989-4661
Location 2W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 251-1000 · Fax (262) 518-5052
Location 33200 Pleasant Valley RdWest Bend, WI 53095-9274 · Phone (262) 334-5533 · Fax (262) 836-7301
Location 41005 Dr. D. B. Todd, Jr. BoulevardNashville, TN 37208-3599 · Phone (615) 327-6277 · Fax (615) 327-6733
Location 59200 W Wisconsin AveMilwaukee, WI 53226 · Phone (414) 805-4600 · Fax (414) 805-4606

Other Identifiers 1

Medicaid1104244458WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eden Biltibo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789941378
PECOS Enrollment IDI20171207000648
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Eden Biltibo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 127 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
135 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Biltibo's NPI number?

The NPI number for Eden Biltibo is 1104244458. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Eden Biltibo located?

Eden Biltibo practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Eden Biltibo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Eden Biltibo enrolled in Medicare?

Yes. Eden Biltibo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eden Biltibo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eden Biltibo reassigns Medicare benefits to 2 organizations: Vanderbilt Health Clinicians, LLC (Nashville, TN) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eden Biltibo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eden Biltibo accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Eden Biltibo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eden Biltibo affiliated with any hospitals?

According to CMS data, Eden Biltibo is affiliated with Vanderbilt University Medical Center and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Eden Biltibo was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.