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

Hayat Itani, MD

Individual provider Family Medicine Physician · NPI 1255956066

Hayat Itani, MD is a Family Practice in Pendleton, Indiana. Qualified in 2020, 6 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
6
Licensed in
IN, KY
In the registry since
2020
Specialties on file
2
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

200 Enterprise Dr Ste A
Pendleton, IN 46064-9038
Phone: (765) 298-4567
Fax: (765) 298-4568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 811 E Parrish Ave Ste 102, Owensboro, KY 42303-3258 — (270) 688-1228
  • 811 E Parrish Ave Ste 102-B, Owensboro, KY 42303-3258 — (270) 688-1009

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01096958A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 58145 (KY)

Record details

NPI number1255956066
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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