DR. MICHAEL ITIDIARE D.O., M.B.S
NPI 1316388556
Internal Medicine - Gastroenterology in Kingsport, TN
About Dr. Michael Itidiare D.o., M.b.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ITIDIARE D.O., M.B.S (NPI 1316388556) is an individual gastroenterology provider in Kingsport, Tennessee, licensed in New Jersey (25MB10130600) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. Michael Itidiare D.o., M.b.s 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Itidiare reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Egg Harbor Township, NJ 08234
- Reassigned Medicare billing, New Jersey enrollment
- 921 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 581 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Capital Health Medical Center - Hopewell
Acute Care Hospitals · Pennington, NJAtlanticare Regional Medical Center - City Campus
Acute Care Hospitals · Atlantic City, NJWellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
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 Michael Itidiare's NPI number?
The NPI number for Michael Itidiare is 1316388556. It was assigned to this individual provider in the NPPES registry on July 16, 2013.
Where is Michael Itidiare located?
Michael Itidiare practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.
What is Michael Itidiare's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Michael Itidiare enrolled in Medicare?
Yes. Michael Itidiare 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 Michael Itidiare's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Itidiare reassigns Medicare benefits to 4 organizations: Medstar Medical Group II LLC (Washington, DC), Atlanticare Physician Group PA (Egg Harbor Township, NJ), Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, NJ). 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 Michael Itidiare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Itidiare accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michael Itidiare 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 Michael Itidiare affiliated with any hospitals?
According to CMS data, Michael Itidiare is affiliated with Capital Health Medical Center - Hopewell, Atlanticare Regional Medical Center - City Campus and Wellmont Holston Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Itidiare was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Dr. Michael Itidiare, D.O., M.B.S · NPI 1316388556
Gastroenterology physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since July 16, 2013.
## Identity
- **NPI:** 1316388556 (Entity type: Individual)
- **Enumerated:** July 16, 2013
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 25MB10130600 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 130 W RAVINE RD, Kingsport, TN 37660-3837
- **Phone:** (423) 224-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1205562816, Washington, DC); Atlanticare Physician Group PA (NPI 1093829608, Egg Harbor Township, NJ); Capital Health Medical Group (NPI 1437516887, Trenton, NJ); Capital Health Multispecialty Group (NPI 1083072342, Trenton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1316388556) · Data from the CMS NPPES public registry.