Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Michael Itidiare, DO, MBS

Individual provider Gastroenterology Physician · NPI 1316388556

Dr. Michael Itidiare, DO, MBS practises Gastroenterology in Kingsport, Tennessee. Qualified in 2013, 13 years ago. Practices with Capital Health Medical Group, a 438-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey, Tennessee and Virginia.

Years since qualifying
13
Licensed in
NJ, TN, VA
In the registry since
2013
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Capital Way, Pennington, NJ 08534-2520 — (609) 303-4000
  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-1121

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MB10130600 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6450 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0102208235 (VA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 6450 (TN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 0102208235 (VA)

Record details

NPI number1316388556
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MBS
Sole proprietorYes
NPI enumeratedJuly 16, 2013
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Capital Health Medical Group — 438 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Upper gastrointestinal (GI) endoscopy for acid reflux 17 times · 48th percentile
Colonoscopy 11 times · 41st percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients97
Services billed 258 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Capital Health Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 438 clinicians in the practice; 12 are shown here.

Other providers in Kingsport