Maikel Hernandez Diaz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9107389 Issued in FL

Practice address

3435 Karen Ave
Kingman, AZ 86401-6485

Phone

(305) 962-2690

NPI assigned

Aug 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.14 of 100Reported as individual

Quality

90.52

Improvement activities

40

Cost

63.11

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Arizona Emergency Medicine Specialists PC

  • Emergency Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1134439706
  Medicare reassignment
• Emergency Group of Arizona Professional Corporation

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1215275433
  Medicare reassignment
• Paramount Behavioral Health Services PLLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1366941361
  Medicare reassignment

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1023442985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30295 N 117TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838255",
            "telephone_number": "305-962-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 KAREN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016485",
            "telephone_number": "305-962-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ DIAZ",
        "first_name": "MAIKEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9107389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Institute of Northern Arizona LLC
• Heart Institute of Northern Arizona LLC
• Margot D Henderson, P.A.-C.
• Shirley Kathryn Henderson, LICENSED COUNSELOR
• Tawni Hendriks, FDN-P
• Dyanne Marie Hernandez, FNP-BC
• Richard Hernandez, ULTRASOUND TECH
• Luis Herrera
• James Herrero, DPT
• Kaylee Mason Herrero, PA

• Medical Physician Assistant in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.

Verify at the official NPI Registry.