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AMIR ITANI DDS
NPI 1932604501
Dentist - Oral and Maxillofacial Surgery in Rockville, MD

Active since March 27, 2018Opted out of Medicare · through Sep 14, 2027
4701 RANDOLPH RD STE G10, ROCKVILLE, MD 20852(301) 468-0020 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Mar 27, 2018 (2 updates tracked since 2018).

About Amir Itani Dds NPPES

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

AMIR ITANI DDS (NPI 1932604501) is an individual oral and maxillofacial surgery provider in Rockville, Maryland, licensed in Maryland (17303) and active in the NPI registry since March 2018. He has opted out of Medicare through September 14, 2027 and remains eligible to order and refer and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1932604501
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameAMIR ITANICredential: DDS
Location Address4701 RANDOLPH RD STE G10Rockville, MD 20852-2259
Mailing Address700 N Randolph St Apt 1200Arlington, VA 22203-2188 · (240) 393-2606
Phone(301) 468-0020
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1932604501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MD · 17303✔ Licensed in DC · DEN2000121
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4701 RANDOLPH RD STE G10, Rockville, MD 20852
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Secondary Practice Location 1

Location 11234 19th St NW Ste 508Washington, DC 20036-2446 · Phone (202) 223-3391

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amir Itani Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 14, 2023 through September 14, 2027.

Opt-Out Effective DateSeptember 14, 2023
Opt-Out In Effect ThroughSeptember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Amir Itani's NPI number?

The NPI number for Amir Itani is 1932604501. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Amir Itani located?

Amir Itani practices at 4701 Randolph Rd Ste G10, Rockville, MD 20852. The listed phone number is (301) 468-0020.

What is Amir Itani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Amir Itani enrolled in Medicare?

No. Amir Itani has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amir Itani accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Amir Itani 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 Amir Itani was last updated on June 8, 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.