Diane Mountain Pittman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0296377 Issued in MN

Practice address

521 Minnesota Ave NW
Bemidji, MN 56601-3024

Phone

(218) 308-0294

NPI assigned

Aug 22, 2006

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Tulane University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
• Cass Lake Indian Health Services Hospital Hospital, Cass Lake, MN, CCN 241358
• Rainy Lake Medical Center Hospital, International Falls, MN, CCN 241322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• True North Health Care PA

  • Primary Care Clinic/Center
  • Bemidji, MN
  • NPI 1255733564
  Medicare reassignment NPD Authorized official
• Department of Health & Human Services PHS IHS

  • Critical Access Hospital
  • Cass Lake, MN
  • NPI 1194754382

  TX

  Medicare reassignment NPD
• Mary S. Salter, MD PSC

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1255717617
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Department of Health & Human Services PHS IHS

  • Critical Access Hospital
  • Cass Lake, MN
  • NPI 1194754382
  Care Compare affiliation
• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149

  Hospital

  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Medical Center

  • Rural Acute Care Hospital
  • Bemidji, MN
  • NPI 1801870191
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1205942158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BELTRAMI AVE NW",
            "address_2": "STE 102",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013010",
            "telephone_number": "218-308-0294",
            "fax_number": "888-375-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013024",
            "telephone_number": "218-308-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "DIANE",
        "middle_name": "MOUNTAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "0296377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966553600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Ella Phelps, LADC
• Physicians Clinic of Minnesota
• Charles William Picard, OD
• Piece of Mind Counseling Services, PLLC
• Jennifer J Pirkl, LICSW
• Patrick James Plemel, LADC
• Hari Raman Pokhrel, MD
• Tricia C Port
• Catherine Lynn Porter, PA-C
• Hillary Renae Porter, CNP

• Family Medicine Physician in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.