DR. DIANA M ADDIS MD
NPI 1235241597
Surgery - Surgical Oncology in Sparta, NJ

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
89 SPARTA AVE, SUITE 210, SPARTA, NJ 07871(908) 918-0001(908) 918-0003 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Diana M Addis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIANA M ADDIS MD (NPI 1235241597) is an individual surgical oncology provider in Sparta, New Jersey, licensed in New Jersey (25MA07065800) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1235241597
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. DIANA M ADDISCredential: MD
Location Address89 SPARTA AVE, SUITE 210Sparta, NJ 07871-1777
Mailing Address98 Ford Rd, Suite 3-hDenville, NJ 07834-1374 · (973) 625-3366 · Fax (973) 625-0349
Fax(908) 918-0003
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 29, 2010
NPI 1235241597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NJ · 25MA07065800
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 25MA07065800 (NJ)
89 SPARTA AVE, Sparta, NJ 07871

Other Identifiers 2

Medicare ID-Type Unspecified093709PXGNJ · Medicare Individl Providr
Medicare UPINH70593NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Diana M Addis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517996085
PECOS Enrollment IDI20050831000122
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services111 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
86 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services42 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
45 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services31 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
28 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
89 SPARTA AVE
SPARTA, NJ 07871
Obstetrics & Gynecology
89 SPARTA AVE
SPARTA, NJ 07871
Pediatrics
89 SPARTA AVE, SUITE 100
SPARTA, NJ 07871
Psychiatry & Neurology (Psychiatry)
89 SPARTA AVE, SUITE 240
SPARTA, NJ 07871
Radiology (Diagnostic Radiology)
89 SPARTA AVE, SUITE 120
SPARTA, NJ 07871
Urology
89 SPARTA AVE, SUITE 200
SPARTA, NJ 07871
Internal Medicine
89 SPARTA AVE, SUITE 130
SPARTA, NJ 07871
Nurse Practitioner (Family)
89 SPARTA AVE
SPARTA, NJ 07871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Addis's NPI number?

The NPI number for Diana Addis is 1235241597. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Diana Addis located?

Diana Addis practices at 89 Sparta Ave Suite 210, Sparta, NJ 07871. The listed phone number is (908) 918-0001.

What is Diana Addis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Diana Addis enrolled in Medicare?

Yes. Diana Addis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Diana Addis affiliated with any hospitals?

According to CMS data, Diana Addis is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Addis was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.