Active NPI
Camila Diaz, M.D.
- Family Medicine Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020-01283
- Practice address
- 250 Hospice Cir
Raleigh, NC 27607-6372 - Phone
- (919) 828-0890
- Fax
- (734) 482-1707
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1518974609
Family Medicine, NC
-
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1114034121
-
- Nephrology Physician
- Cary, NC
- NPI 1811492663
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina Nephrology PA
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
- Transitions Lifecare
- Rex Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200611001049 | NC | Practitioner - Family Practice | 2860785607 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301109539 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Wake County, Inc. | Current | Accepting new patients | |
| Hospice of Wake County, Inc. | Family Medicine | Current | Accepting new patients |
| North Carolina Nephrology PA | Current | Accepting new patients | |
| North Carolina Nephrology PA | Current | 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
3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244
3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409
250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890
3604 Bush St
Raleigh, NC 27609
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
- cdiaz64632@direct.acumenmd.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPPES NPI RegistryPrimary practice location
250 Hospice Cir
Raleigh, NC 27607-6372
Mailing address
250 Hospice Cir
Raleigh, NC 27607-6372
Phone (919) 828-0890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2024.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.