Taha Dias, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME96911 Issued in FL

Practice address

1270 N Wickham Rd Ste 9
Melbourne, FL 32935-8300

Phone

(321) 567-2211

NPI assigned

Nov 14, 2006

Reactivated

Oct 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sanative Medical Group PLLC

  • Hospitalist Physician
  • Lakeland, FL
  • NPI 1982014031
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1013089028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 ISLAND LAKES DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815605",
            "telephone_number": "863-594-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N WICKHAM RD STE 9",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358300",
            "telephone_number": "321-567-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "TAHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "deactivation_date": "2019-09-28",
        "reactivation_date": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276868200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita A Dhople, MD
• Nikhita Dhruv, MD
• Diagnostic and Clinical Care Services Inc
• Diana G Masker and Associates Inc
• Diana G. Masker, M.a., CCC
• Maria Orquidea Diaz Sanquintin
• Yarimar Ivelisse Diaz-Rodriguez
• Gilberto Diaz Jr.
• Michael Diaz, MD
• Gerard Joseph Dichiara Jr., D.O.

• Internal Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.