Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. ED Adel Itawi, MD

Individual provider Surgery Physician · NPI 1366645574

Dr. ED Adel Itawi, MD is a Colorectal Surgery (Proctology) in Kalamazoo, Michigan. Qualified in 2004, 22 years ago. Practices with Acute Care Surgeons PC, a 15-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 John St Ste M302
Kalamazoo, MI 49007-5341
Phone: (269) 341-4890
Fax: (269) 341-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 4301084241 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301084241 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301084241 (MI)

Record details

NPI number1366645574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESNovember 27, 2023
Certification dateOctober 9, 2020
Mailing address601 John St, Suite M302, Kalamazoo, MI 49007-5341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Acute Care Surgeons Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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