NPIMap

Individual provider Active NPI

Garret Lamendola Sitenga, MD

  • Ophthalmology Physician
  • Homer, AK
National Provider Identifier
1891701736
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD3811 Issued in AK
Practice address
4381 E Hill Rd
Homer, AK 99603-8203
Phone
(907) 235-2358
Fax
(907) 235-9777
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD3811 AK Primary

Addresses

Primary practice location

4381 E Hill Rd
Homer, AK 99603-8203

Mailing address

4381 E Hill Rd
Homer, AK 99603-8203
Phone (907) 235-2358

Other identifiers 3

IdentifierTypeStateIssuer
MD3811MedicaidAK
180034315OtherAKRR MEDICARE
D08608864OtherAKDME/SUBMITTER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000479 AK Practitioner - Ophthalmology 4284727009 Reassigns benefits to 1 organization
Practice locations: Homer, AK; Kenai, AK
O20100930097805 AK DME Supplier - Physician - Ophthalmology 0547467409 Practice locations: Homer, AK

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sitenga Eye Associates LLCGroup PAC ID 8123427580, 3 clinicians

Practice addresses (Care Compare)

115 Bidarka St
Kenai, AK 99611-7741
Phone (907) 335-3358

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD3811AKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sitenga Eye Associates LLC Ophthalmology CurrentSince Jul 10, 2021 Accepting new patients
Garret Lamendola Sitenga PastSince Jan 1, 1990 Accepting new patients

Locations

4381 East Hill Rd
Homer, AK 99603
Phone (907) 235-2358

115 Bidarka St
Kenai, AK 99611
Phone (907) 335-3358

Organizations & group practices 2

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1891701736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 E HILL RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996038203",
            "telephone_number": "907-235-2358",
            "fax_number": "907-235-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 E HILL RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996038203",
            "telephone_number": "907-235-2358",
            "fax_number": "907-235-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITENGA",
        "first_name": "GARRET",
        "middle_name": "LAMENDOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "MD3811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3811",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180034315",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/SUBMITTER ID",
            "identifier": "D08608864",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.