DR. PRISCILLA ITUA MD
NPI 1639811680
Student in an Organized Health Care Education/Training Program in Atlantic City, NJ

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 464-2564 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Priscilla Itua Md NPPES

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

DR. PRISCILLA ITUA MD (NPI 1639811680) is an individual student in an organized health care education/training program in Atlantic City, New Jersey and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639811680
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PRISCILLA ITUACredential: MD
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address110 E Jimmie Leeds RdGalloway, NJ 08205-9479
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 5, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1639811680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1925 PACIFIC AVE, Atlantic City, NJ 08401

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. Priscilla Itua 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 ID1355806738
PECOS Enrollment IDI20260717000212
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 Reassignment

Medicare enrollment records show Priscilla Itua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 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.

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.

Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

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 Priscilla Itua's NPI number?

The NPI number for Priscilla Itua is 1639811680. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Priscilla Itua located?

Priscilla Itua practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 464-2564.

What is Priscilla Itua's specialty?

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

Is Priscilla Itua enrolled in Medicare?

Yes. Priscilla Itua 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 organization bills Medicare for Priscilla Itua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Itua reassigns Medicare benefits to Hospital Medicine Services Of Tx, PLLC (San Antonio, TX). The 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 Priscilla Itua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priscilla Itua accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Priscilla Itua 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.

When was this NPI record last updated?

The NPPES record for Priscilla Itua was last updated on June 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.