Individual provider Active NPI

Sharmin Amir Sitafalwalla, DO

  • Family Medicine Physician
  • Raeford, NC
National Provider Identifier
1710235866
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-00843 Issued in NC
Practice address
405 S Main St
Raeford, NC 28376-3222
Phone
(910) 615-5800
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016-00843 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

405 S Main St
Raeford, NC 28376-3222

Mailing address

405 S Main St
Raeford, NC 28376-3222

Other practice location 1

2356 John Smith Rd
Fayetteville, NC 28306-4008
Phone (910) 339-2274

Other practice location 2

300 Medical Pavilion Dr Ste 150
Raeford, NC 28376-0030
Phone (910) 904-8025

Other practice location 3

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160830000607 NC Practitioner - Family Practice 5496970766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Hoke Healthcare LLCGroup PAC ID 1153569405, 7 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

300 Medical Pavilion Dr
Suite 150
Raeford, NC 28376-0030
Phone (910) 904-8025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jul 1, 2016 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hoke Healthcare, LLC Family Medicine CurrentSince Feb 27, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Hoke Healthcare LLC CurrentSince Feb 27, 2025 Accepting new patients
Hoke Healthcare, LLC Current Accepting new patients
Bladen Healthcare, LLC Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

300 Medical Pavilion Dr
#15
Raeford, NC 28376
Phone (910) 904-8020

300 Medical Pavilion Dr
Ste 150
Raeford, NC 28376
Phone (910) 904-8020

405 S Main St
Raeford, NC 28376
Phone (910) 615-5800

Interoperability endpoints

  • Direct secure messaging: ssitafalwalla10294@capefearvalley.direct-ci.com

Organizations & group practices 8

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710235866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763222",
            "telephone_number": "910-615-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2356 John Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283064008",
            "country_code": "US",
            "telephone_number": "910-339-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760030",
            "country_code": "US",
            "telephone_number": "910-904-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "fax_number": "910-615-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITAFALWALLA",
        "first_name": "SHARMIN",
        "middle_name": "AMIR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-00843",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.