Individual provider Active NPI

Sarina Adeni, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1871632653
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071451 Issued in FL
Practice address
5820 Buckingham Rd
Gulf Coast Center Icf DD
Fort Myers, FL 33905
Phone
(239) 694-2151
Fax
(239) 694-5802
NPI assigned
Feb 6, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME0071451 FL Primary

Addresses

Primary practice location

5820 Buckingham Rd
Gulf Coast Center Icf DD
Fort Myers, FL 33905

Mailing address

859 Napoli Lane
Punta Gorda, FL 33950

Other identifiers 1

IdentifierTypeStateIssuer
ME0071451OtherMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120329000734 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2961399308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071451FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agency for Persons With Disabilities Past Accepting new patients

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871632653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 NAPOLI LANE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 BUCKINGHAM RD",
            "address_2": "GULF COAST CENTER ICF DD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33905",
            "telephone_number": "239-694-2151",
            "fax_number": "239-694-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENI",
        "first_name": "SARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0071451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.