Active NPI
Idabelle Diaz-Garcia, PA-C
- Physician Assistant
- New Albany, OH
National Provider Identifier
1003258922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5001008RX
- Practice address
- 5065 Forest Dr Ste 101
New Albany, OH 43054-8778 - Phone
- (614) 618-0514
- Fax
- (614) 333-8339
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5001008RX | OH | Primary |
Addresses
Primary practice location
5065 Forest Dr Ste 101
New Albany, OH 43054-8778
Mailing address
5065 Forest Dr Ste 101
New Albany, OH 43054-8778
Phone (614) 618-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5065 Forest Dr
Suite 101
New Albany, OH 43054-8778
Phone (614) 618-0514
5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001008RX | OH | MD | Physician Assistant |
Organizations & group practices 1
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.
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- Dayton, OH
- NPI 1801819883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1003258922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5065 FOREST DR STE 101",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548778",
"telephone_number": "614-618-0514",
"fax_number": "614-333-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5065 FOREST DR STE 101",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548778",
"telephone_number": "614-618-0514",
"fax_number": "614-333-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-GARCIA",
"first_name": "IDABELLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "5001008RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.