1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Colon Rectal Surgery
  6. NPI Profile

DR. EDWIN ROBERT ITENBERG D.O.
NPI 1255508487
Colon & Rectal Surgery in Southfield, MI

Active since May 16, 2008PECOS EnrolledAccepts Medicare Assignment
16001 W 9 MILE RD, FISHER BUILDING 3RD FLOOR, SOUTHFIELD, MI 48075(248) 849-6030(248) 849-6039 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin Robert Itenberg D.o. NPPES

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

DR. EDWIN ROBERT ITENBERG D.O. (NPI 1255508487) is an individual colon & rectal surgery provider in Southfield, Michigan, licensed in Michigan (5101019112) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2006).

NPPES Registry Identity

NPI1255508487
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. EDWIN ROBERT ITENBERGCredential: D.O.
Location Address16001 W 9 MILE RD, FISHER BUILDING 3RD FLOORSouthfield, MI 48075-4818
Mailing Address16001 W 9 Mile Rd, Fisher Building 3rd FloorSouthfield, MI 48075-4818 · (248) 849-6030 · Fax (248) 849-6039
Phone(248) 849-6030
Fax(248) 849-6039
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2006
Enumeration DateMay 16, 2008
Last NPPES UpdateDecember 5, 2012
✔ NPI 1255508487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in MI · 5101019112
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 5101019112 (MI)
16001 W 9 MILE RD, Southfield, MI 48075
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Robert Itenberg D.o. 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 ID9739332982
PECOS Enrollment IDI20130121000170
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.

Areas of Expertise CMS Part B claims 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services18 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.
14 services14 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers17 claims270 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers17 claims235 services$4.49 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers16 claims900 services$1.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JONATHAN ARIE KROLL M.D.
Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
MARY LYNN MEISEL CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
MS. JESSICA L BEACOME ACNP
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Oakland County (248) 849-8716
TRACY CHASE GROVES CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
TERESEA ANN ZARZA NP
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-2528
DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
NICOLE NOEL SILVESTRI NP
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806

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 Edwin Itenberg's NPI number?

The NPI number for Edwin Itenberg is 1255508487. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is Edwin Itenberg located?

Edwin Itenberg practices at 16001 W 9 Mile Rd Fisher Building 3rd Floor, Southfield, MI 48075. The listed phone number is (248) 849-6030.

What is Edwin Itenberg's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Edwin Itenberg enrolled in Medicare?

Yes. Edwin Itenberg 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.

What insurance does Edwin Itenberg accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Edwin Itenberg 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 Edwin Itenberg affiliated with any hospitals?

According to CMS data, Edwin Itenberg is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Itenberg was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.