Individual provider Active NPI

Gitana Staskus, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Worth, TX
National Provider Identifier
1790842706
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036-109743 Issued in IL
Practice address
1220 W Presidio St
Fort Worth, TX 76102-4512
Phone
(903) 957-0082
Fax
(903) 957-0351
NPI assigned
Jan 2, 2007
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-109743 IL Primary

Addresses

Primary practice location

1220 W Presidio St
Fort Worth, TX 76102-4512

Mailing address

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Other practice location 1

5734 Spohn Dr Ste 110
Corpus Christi, TX 78414-4116
Phone (903) 957-0082

Other practice location 2

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Other practice location 3

711 Pennsylvania Ave
Fort Worth, TX 76104-2222
Phone (903) 957-0082

Other practice location 4

7589 Preston Rd Ste 900
Frisco, TX 75034-5676
Phone (903) 957-0082

Other identifiers 1

IdentifierTypeStateIssuer
036109743 1MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gstaskus27929@direct.med.utah.edu Health Information Exchange (HIE) University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20080624000373 UT Practitioner - Endocrinology 0042225286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109743ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: gstaskus27929@direct.med.utah.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1790842706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W PRESIDIO ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024512",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5734 Spohn Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144116",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Highland Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927377",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042222",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7589 Preston Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750345676",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASKUS",
        "first_name": "GITANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-109743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109743 1",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gstaskus27929@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.