Michael Itidiare, D.O., M.B.S
NPI 1316388556ActiveIndividual· Internal Medicine, Gastroenterology· Kingsport, TN
Internal Medicine, Gastroenterology (D.O., M.B.S) with Atlanticare Physician Group PA and 1 other group, practicing in Kingsport, Tennessee. Mostly services rather than prescriptions: Medicare paid $26,490 for 97 patients in 2024, with only 46 Part D claims. Salix Pharmaceuticals, A Division of Bausch Health US, LLC reported $125.00 in payments in 2024, mostly food and beverage. Lists Atlanticare Regional Medical Center - City Campus and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1316388556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O., M.B.S |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2013 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 25MB10130600 | NJ |
| Internal Medicine | 207R00000X | 6450 | TN |
| Internal Medicine | 207R00000X | 0102208235 | VA |
| Internal Medicine, Gastroenterology | 207RG0100X | 6450 | TN |
| Internal Medicine, Gastroenterology | 207RG0100X | 0102208235 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (DC); Practitioner - Gastroenterology (MD); Practitioner - Gastroenterology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 258 across 18 procedure codes |
| Paid by Medicare | $26,490 |
Part D prescriptions in 2024
| Prescriptions (claims) | 46 · 60 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $8,043 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Gastroenterology |
Medical groups
- Atlanticare Physician Group PAAtlantic City, NJ · 511 clinicians
- Capital Health Medical GroupPennington, NJ · 440 clinicians
Hospital affiliations
- Atlanticare Regional Medical Center - City CampusAtlantic City, NJ
- Capital Health Medical Center - HopewellPennington, NJ
- Wellmont Holston Valley Medical CenterKingsport, TN
Industry payments (Open Payments)
- 2024$125.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $125.00 | 1 |
What the 2024 payments were for
- Food and Beverage$125.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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