Active NPI
Diana Marion Sitar, DO
- Family Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS18192
- Practice address
- 9345 Ben C Pratt/6 Mile Cypress Pkwy Ste 125
Fort Myers, FL 33966-6202 - Phone
- (239) 320-8145
- Fax
- (239) 320-8146
- NPI assigned
- Apr 7, 2018
- Last updated
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS18192 | FL | Primary |
Addresses
Primary practice location
9345 Ben C Pratt/6 Mile Cypress Pkwy Ste 125
Fort Myers, FL 33966-6202
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone (239) 343-2551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS18192 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18192 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Hope Hospice and Community Services, Inc | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
Locations
10201 Arcos Ave
Ste 105
Estero, FL 33928
Phone (239) 333-2273
16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
9345 Ben C Pratt/6 Mile Cypress Pkwy
Ste 125
Fort Myers, FL 33966
Phone (239) 320-8145
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hope Comfort Care Program
- Family Medicine Physician
- Fort Myers, FL
- NPI 1114225745
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1174020085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9345 BEN C PRATT/6 MILE CYPRESS PKWY STE 125",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666202",
"telephone_number": "239-320-8145",
"fax_number": "239-320-8146"
}
],
"practiceLocations": [
{
"address_1": "2780 Cleveland Ave Ste 709",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015857",
"country_code": "US",
"telephone_number": "239-343-2551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SITAR",
"first_name": "DIANA",
"middle_name": "MARION",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-07",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS18192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OS18192",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.