Individual provider Active NPI

Diana M Lane

  • Surgery Physician
  • Lakeland, FL
National Provider Identifier
1992233936
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS20244 Issued in FL
Practice address
3030 Harden Blvd BLDG 1
Lakeland, FL 33803-7952
Phone
(407) 707-5018
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T5423 TX
Surgery Physician 208600000X OS20244 FL Primary

Addresses

Primary practice location

3030 Harden Blvd BLDG 1
Lakeland, FL 33803-7952

Mailing address

7512 Dr Phillips Blvd Ste 50-792
Orlando, FL 32819-5420
Phone (407) 707-5018

Other names 1

  • Diana Panciera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220715000765 TX Practitioner - General Surgery 1254712706 Reassigns benefits to 1 organization
I20230802004366 FL Practitioner - General Surgery 1254712706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Body by Bariatrics LLCGroup PAC ID 5496127607, 2 clinicians

Practice addresses (Care Compare)

3030 Harden Blvd
BLDG 1
Lakeland, FL 33803-7952
Phone (407) 707-5018

Hospital & facility affiliations

  • Ucf Lake Nona Hospital Hospital, Orlando, FL, CCN 100350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20244FLMDSurgery Physician
T5423TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Body by Bariatrics, LLC Surgery CurrentSince Aug 1, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 1, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 1, 2022 Accepting new patients
Flavia Soto MD PA Surgery PastSince Aug 6, 2023 Accepting new patients
Rowan University School of Osteopathic Medicine Past Accepting new patients

Locations

3030 Harden Blvd
Bldg 1
Lakeland, FL 33803
Phone (407) 707-5018

7512 Dr Phillips Blvd
Ste 50-792
Orlando, FL 32819

12363 W Colonial Dr
Ste 120
Winter Garden, FL 34787
Phone (407) 707-5018

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 1661
Houston, TX 77030
Phone (713) 363-9604

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dpanciera406736@directhoustonmethodist.org
  • Direct secure messaging: dlane52364@lrhs.direct-ci.com

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1992233936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 DR PHILLIPS BLVD STE 50-792",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195420",
            "telephone_number": "407-707-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HARDEN BLVD BLDG 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037952",
            "telephone_number": "407-707-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DIANA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T5423",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS20244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "PANCIERA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.