Individual provider Active NPI

Karl F. Sitterly, M.D.

  • Family Medicine Physician
  • Newport, ME
National Provider Identifier
1891986782
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015041 Issued in ME
Practice address
26 Main St
Suite 2
Newport, ME 04953-4162
Phone
(207) 368-5747
Fax
(207) 368-5483
NPI assigned
Aug 6, 2007
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015041 ME Primary

Addresses

Primary practice location

26 Main St
Suite 2
Newport, ME 04953-4162

Mailing address

PO Box J
Newport, ME 04953-0429
Phone (207) 368-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050803000878 ME Practitioner - Family Practice 0446288088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015041MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Valley Health Family Medicine CurrentSince Mar 11, 2020 Accepting new patients
Sebasticook Valley Health CurrentSince Mar 11, 2020 Accepting new patients

Locations

26 Main St
Ste 2
Newport, ME 04953
Phone (207) 368-5747

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

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, 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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1891986782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049530429",
            "telephone_number": "207-368-5747",
            "fax_number": "207-368-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "address_2": "SUITE 2",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534162",
            "telephone_number": "207-368-5747",
            "fax_number": "207-368-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTERLY",
        "first_name": "KARL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "015041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.