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DR. ALWATHEQ AL-ITELAT MD
NPI 1457154098
Student in an Organized Health Care Education/Training Program in Youngstown, OH

Active since March 29, 2025PECOS Enrolled
1001 COVINGTON ST, YOUNGSTOWN, OH 44510(330) 480-2616 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alwatheq Al-itelat Md NPPES

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

DR. ALWATHEQ AL-ITELAT MD (NPI 1457154098) is an individual student in an organized health care education/training program in Youngstown, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457154098
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALWATHEQ AL-ITELATCredential: MD
Location Address1001 COVINGTON STYoungstown, OH 44510-1617
Mailing Address1001 Covington StYoungstown, OH 44510-1617 · (330) 480-2616
Phone(330) 480-2616
Sole ProprietorNo
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1457154098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 COVINGTON ST, Youngstown, OH 44510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alwatheq Al-itelat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. VIPIN DAS VILLGRAN MD
Internal Medicine (Pulmonary Disease)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3258
MICHAEL R SIPPEL MD
Surgery
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2371
JOANNE GRACE SANTOS GREISING MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
AKSHITA KAUSHAL MD
Student in an Organized Health Care Education/Training Program
1001 COVINGTON ST, ST ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CYNTHIA ANN KRAVEC MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CHITSIMRAN MANN
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3565
ANGELA SALCEDO AQUINO
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
DR. CHARLES A PAGE DMD
Dentist (General Practice)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3195

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 Alwatheq Al-itelat's NPI number?

The NPI number for Alwatheq Al-itelat is 1457154098. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Alwatheq Al-itelat located?

Alwatheq Al-itelat practices at 1001 Covington St, Youngstown, OH 44510. The listed phone number is (330) 480-2616.

What is Alwatheq Al-itelat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alwatheq Al-itelat enrolled in Medicare?

Yes. Alwatheq Al-itelat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alwatheq Al-itelat was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.