Individual provider Active NPI

Leticia Diaz, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1073969739
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S7420 Issued in TX
Practice address
11111 Research Blvd Ste 295
Austin, TX 78759-5281
Phone
(877) 800-5722
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S7420 TX Primary

Addresses

Primary practice location

11111 Research Blvd Ste 295
Austin, TX 78759-5281

Mailing address

205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leticia.diaz.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200821002459 TX Practitioner - Obstetrics/Gynecology 5991121840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

9500 Lakeview Pkwy
Suite 200
Rowlett, TX 75088-4560
Phone (972) 475-0960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7420TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 26, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Aug 31, 2020 Accepting new patients
Lone Star Circle of Care Obstetrics & Gynecology Current Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 26, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Aug 31, 2020 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Past Accepting new patients
Lake Pointe Operating Company, LLC Past Accepting new patients

Locations

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: ldiaz1099831@direct.sw.org
  • Direct secure messaging: leticia.diaz@direct.myhealthep.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1073969739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD STE 295",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595281",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LETICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leticia.diaz.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "11111 Research Blvd Ste 295",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787595281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.