Individual provider Active NPI

Camila Diaz, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1073965786
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-01283 Issued in NC
Practice address
250 Hospice Cir
Raleigh, NC 27607-6372
Phone
(919) 828-0890
Fax
(734) 482-1707
NPI assigned
Jul 6, 2016
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2020-01283 NC
Student in an Organized Health Care Education/Training Program 390200000X 4301109539 MI
Family Medicine Physician 207Q00000X 2020-01283 NC Primary

Addresses

Primary practice location

250 Hospice Cir
Raleigh, NC 27607-6372

Mailing address

250 Hospice Cir
Raleigh, NC 27607-6372
Phone (919) 828-0890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611001049 NC Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 2860785607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Nephrology PAGroup PAC ID 0244511483, 58 clinicians

Practice addresses (Care Compare)

1559 E Booker Dairy Rd
Suite B
Smithfield, NC 27577-9442
Phone (919) 876-7807

2824 Rogers Rd
Suite 104
Wake Forest, NC 27587-3896
Phone (919) 876-7807

3700 Barrett Dr
Suite 200
Raleigh, NC 27609-7213
Phone (919) 231-3966

700 Tilghman Dr
Suite 722
Dunn, NC 28334-5519
Phone (919) 876-7807

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-01283NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wake County, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Hospice of Wake County, Inc. Family Medicine Current Accepting new patients
North Carolina Nephrology PA CurrentSince Feb 28, 2024 Accepting new patients
North Carolina Nephrology PA CurrentSince Feb 28, 2024 Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644

700 Tilghman Dr
Ste 722
Dunn, NC 28334
Phone (910) 892-1068

916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644

216 N Bickett Blvd
Ste 5
Louisburg, NC 27549
Phone (919) 496-6922

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

3604 Bush St
Raleigh, NC 27609
Phone (919) 876-7501

3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244

1559 E Booker Dairy Rd
Ste B
Smithfield, NC 27577

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

2503 Wooten Blvd SW
Wilson, NC 27893
Phone (252) 243-2268

Interoperability endpoints

  • Direct secure messaging: cdiaz64632@direct.acumenmd.com

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1073965786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-0890",
            "fax_number": "734-482-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CAMILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2020-01283",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301109539",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-01283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.