NPIMap

Individual provider Active NPI

Kyle I Diaz, MD

  • Family Medicine Physician
  • Texarkana, AR
National Provider Identifier
1063675650
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E6586 Issued in AR
Practice address
300 E 6TH St
Texarkana, AR 71854-5207
Phone
(870) 779-6000
Fax
(870) 779-6093
NPI assigned
Jul 3, 2008
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E6586 AR Primary

Addresses

Primary practice location

300 E 6TH St
Texarkana, AR 71854-5207

Mailing address

300 E 6TH St
Texarkana, AR 71854-5207
Phone (870) 779-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110510000282 AR Practitioner - Emergency Medicine 8224214200 Reassigns benefits to 7 organizations
I20140721002121 TX Practitioner - Family Practice 8224214200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

3417 U of a Way
Texarkana, AR 71854-1419
Phone (870) 779-6000

451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E6586ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince May 1, 2014 Accepting new patients
Sevier County Medical Center CurrentSince Mar 13, 2024 Accepting new patients
Pafford Physician Services HM PLLC CurrentSince Jan 12, 2026 Accepting new patients
Pafford Physician Services Em PLLC CurrentSince Jun 1, 2025 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Nov 22, 2011 Accepting new patients
Sevier County Medical Center CurrentSince Mar 13, 2024 Accepting new patients
HCC of Magnolia LLC CurrentSince Oct 1, 2022 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Sevier County Medical Center Past Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

300 E 6th St
Texarkana, AR 71854
Phone (870) 779-6000

3417 U of a Way
Texarkana, AR 71854
Phone (870) 779-6000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: kyle.diaz.1@14285.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1063675650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KYLE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.