Organization Active NPI

Endocrine & Diabetes Care, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Myers, FL
National Provider Identifier
1821766676
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE & DIABETES CARE, PLLC
Practice address
12559 New Brittany Blvd
Fort Myers, FL 33907-3625
Phone
(239) 333-2580
Fax
(239) 333-2581
NPI assigned
Sep 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Patricia Sareh, MD
Title
Member
Phone
(305) 968-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

12559 New Brittany Blvd
Fort Myers, FL 33907-3625

Mailing address

12559 New Brittany Blvd
Fort Myers, FL 33907-3625
Phone (239) 333-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929000641 FL Part B Supplier - Clinic/Group Practice 4981001229 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

12559 New Brittany Blvd
Ste 25
Fort Myers, FL 33907
Phone (239) 333-2580

12559 New Brittany Blvd
Fort Myers, FL 33907
Phone (239) 333-2580

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1821766676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12559 NEW BRITTANY BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073625",
            "telephone_number": "239-333-2580",
            "fax_number": "239-333-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12559 NEW BRITTANY BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073625",
            "telephone_number": "239-333-2580",
            "fax_number": "239-333-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE & DIABETES CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-04",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "SAREH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-968-3478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.