Active NPI
Diana Sarfo
- Family Medicine Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01093751A
- Practice address
- 234 Chapin St Ste I
South Bend, IN 46601-2571 - Phone
- (574) 335-8250
- NPI assigned
- Mar 22, 2021
- 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 | 01093751A | IN | Primary |
Addresses
Primary practice location
234 Chapin St Ste I
South Bend, IN 46601-2571
Mailing address
611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Diana.sarfo@sjrmc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Douglas Rd
Suite 407 Family Medicine Center of Sjrmc
Mishawaka, IN 46545-1468
Phone (574) 335-6500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01093751A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients |
Locations
611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214
611 E Douglas Rd
Ste 407
Mishawaka, IN 46545
Phone (574) 335-6500
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
234 Chapin St
Ste I
South Bend, IN 46601
Phone (574) 274-4552
Interoperability endpoints
- dsarfo1145112@direct.trinity-health.org
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 and National Provider Directory roles.
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1780766261
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1477139384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 407",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 CHAPIN ST STE I",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012571",
"telephone_number": "574-335-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARFO",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2024-07-15",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01093751A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Diana.sarfo@sjrmc.com",
"affiliation": "N",
"address_1": "611 E Douglas Rd Ste 407",
"city": "Mishawaka",
"state": "IN",
"country_code": "US",
"postal_code": "465451468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.