Active NPI
Sarina Adeni, MD
- Internal Medicine Physician
- Fort Myers, FL
National Provider Identifier
1871632653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0071451
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0071451 | Other | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000734 | TX | Order and Referring Only - Internal Medicine | 2961399308 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0071451 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Gulf Coast Center ICF DD - State of Fl
- Intellectual Disabilities Intermediate Care Facility
- Fort Myers, FL
- NPI 1245398361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.