DR. ED ADEL ITAWI (MD) – Colon & Rectal Surgery Physician, NPI 1366645574
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
107 COLORECTAL SURGERY (PROCTOLOGY) in MI
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Provider Addresses for DR. ED ADEL ITAWI (MD)
Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States
SUITE M302
KALAMAZOO, MI 490075341
Phone: (269) 341-4890
Fax: (269) 341-4889
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Ethicon US, LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101026000345 | I | Colorectal Surgery (Proctology) | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 86 | 86 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 68 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 38 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 41 | 41 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 32 | 32 | $0 |
Insurance plans in this area (ZIP 49007)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| General Surgery | MI | |
| Vascular Surgery | MI | |
| General Surgery | MI | |
| - | MI | |
| General Surgery | MI | |
| General Surgery | MI | |
| General Surgery | MI | |
| General Surgery | MI | |
| General Surgery | MI |
Reviews
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