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

Q: 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.

Q: What is Diana Addis's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(908) 918-0001

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

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Other Identifiers 2

Medicare ID-Type Unspecified093709PXGNJ · Medicare Individl Providr

Medicare UPINH70593NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Diana Addis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

28 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

23 services23 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

21 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services18 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

21 services20 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

20 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

19 services17 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 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.

SUSAN MILLER NP

Nurse Practitioner

89 SPARTA AVE
SPARTA, NJ 07871

Sussex County (973) 971-5595

DR. ANANDHI K NADARAJAH MD

Obstetrics & Gynecology

89 SPARTA AVE
SPARTA, NJ 07871

Sussex County (973) 383-8555

REGINA BRONSTEIN MD

Pediatrics

89 SPARTA AVE, SUITE 100
SPARTA, NJ 07871

Sussex County (973) 729-2121

HIGHLANDS PSYCHIATRIC ASSOCIATES, P.C.

Psychiatry & Neurology (Psychiatry)

89 SPARTA AVE, SUITE 240
SPARTA, NJ 07871

Sussex County (973) 729-2991

DR. FREDERICK CORIO MD

Radiology (Diagnostic Radiology)

89 SPARTA AVE, SUITE 120
SPARTA, NJ 07871

Sussex County (973) 729-0002

DR. DONALD JOSEPH MYKULAK MD

Urology

89 SPARTA AVE, SUITE 200
SPARTA, NJ 07871

Sussex County (973) 726-7220

DR. JUMANA CHATIWALA M.D.

Internal Medicine

89 SPARTA AVE, SUITE 130
SPARTA, NJ 07871

Sussex County (973) 726-0005

NICHOLAS W TINKER FNP-BC

Nurse Practitioner (Family)

89 SPARTA AVE
SPARTA, NJ 07871

Sussex County (973) 729-2121

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.

Which organization bills Medicare for Diana Addis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Addis reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Addis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Addis accept?

Health plans from Oscar Health list Diana Addis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.