EDEN BILTIBO (MD) – Hematology & Oncology Physician, NPI 1104244458

EDEN BILTIBO (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 56465 (TN). The NPI Number for EDEN BILTIBO (MD) is 1104244458

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
EDEN BILTIBO (MD)
NPI
1104244458
Phone
(414) 805-4600
Address
9200 W WISCONSIN AVE
Enumeration Date
3 April 2014
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153223000
Graduation Year
2009 (17 years ago)
PAC ID
4789941378
Group Practice PAC ID
2062955503
Professional Enrollment ID
I20171207000648
Address ID
TN372320001NA3601XCLIN400

Contacts

Secure Messaging
ebiltibo572812@direct.vumc.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

350 HEMATOLOGY/ONCOLOGY in WI

Provider Addresses for EDEN BILTIBO (MD)

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-4600

    Fax: (414) 805-4606

    Type: Mailing

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 300 Steam Plant Rd Ste 300

    Gallatin, TN 370663089

    Phone: (615) 989-4311

    Fax: (615) 989-4661

    Type: Location

  • W180N8085 Town Hall Rd

    Menomonee Falls, WI 530513518

    Phone: (262) 251-1000

    Fax: (262) 518-5052

    Type: Location

  • 3200 Pleasant Valley Rd

    West Bend, WI 530959274

    Phone: (262) 334-5533

    Fax: (262) 836-7301

    Type: Location

  • 1005 Dr. D. B. Todd, Jr. Boulevard

    Nashville, TN 372083599

    Phone: (615) 327-6277

    Fax: (615) 327-6733

    Type: Location

  • 9200 W Wisconsin Ave

    Milwaukee, WI 53226

    Phone: (414) 805-4600

    Fax: (414) 805-4606

    Type: Location

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $2,100.

Total Amount is formed as General ($2,100) + Research ($0) + Ownership ($0) = $2,100.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: BeiGene USA, Inc. ($1,950).

Total Amount

$2,100

General + Research + Ownership

Payments

2

Total payment records

General Amount

$2,100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171207000648IHematology/OncologyTNTBD
I20180808003330IInternal MedicineWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7424$0
99215Established patient office or other outpatient visit, 40-54 minutes3628$0
99213Established patient office or other outpatient visit, 20-29 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062955503View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTN
H E M A T O L O G Y/ O N C O L O G YTN
Hematology/Oncology, Internal MedicineTN
H E M A T O L O G Y/ O N C O L O G YTN
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTN
Internal Medicine, Hematology/OncologyWI
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTN
Medical OncologyTN

Reviews

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Frequently asked questions

What is EDEN BILTIBO (MD)'s NPI number?
EDEN BILTIBO (MD)'s NPI is 1104244458 — the number used across U.S. healthcare to identify this provider.
Is there an active status for EDEN BILTIBO (MD)?
For scheduling context, EDEN BILTIBO (MD) is shown as active in the registry.
What kind of doctor is EDEN BILTIBO (MD)?
EDEN BILTIBO (MD) is associated with Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EDEN BILTIBO (MD)?
Directory geography for EDEN BILTIBO (MD) centers on Milwaukee, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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