Individual provider Active NPI

Sara Ines Gitte, MD

  • Internal Medicine Physician
  • Summerfield, FL
National Provider Identifier
1629348966
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115819 Issued in FL
Practice address
10250 SE 167TH Place Rd
Suite 5
Summerfield, FL 34491-8682
Phone
(352) 307-9925
Fax
(352) 307-8442
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME115819 FL Primary

Addresses

Primary practice location

10250 SE 167TH Place Rd
Suite 5
Summerfield, FL 34491-8682

Mailing address

10250 SE 167TH Place Rd
Suite 5
Summerfield, FL 34491-8682
Phone (352) 307-9925

Other identifiers 1

IdentifierTypeStateIssuer
009911500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001292 FL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 2961636840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Lakeview Healthcare System, LLCGroup PAC ID 8921074733, 25 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1950 Laurel Manor Dr
Suite 150
The Villages, FL 32162-5602
Phone (352) 633-5282

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Healthcare System, LLC Internal Medicine CurrentSince Sep 16, 2013 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Sep 16, 2013 Accepting new patients

Locations

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

1950 Laurel Manor Dr
Ste 150
The Villages, FL 32162
Phone (352) 633-5282

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1629348966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTE",
        "first_name": "SARA",
        "middle_name": "INES",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.