Active NPI
Jesus Diaz Vera
- Infectious Disease Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME168436
- Practice address
- 1258 W Bay Dr Ste D
Largo, FL 33770-2277 - Phone
- (727) 420-6374
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME168436 | FL | Primary |
Addresses
Primary practice location
1258 W Bay Dr Ste D
Largo, FL 33770-2277
Mailing address
10460 Roosevelt Blvd N # 169
Saint Petersburg, FL 33716-3821
Phone (727) 420-6374
Other names 1
- Jesus Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of South Florida College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1258 W Bay Dr
Suite D
Largo, FL 33770-2277
Phone (727) 420-6374
1285 Creekside Blvd E
Unit 300
Naples, FL 34109-0598
Phone (239) 537-5909
Hospital & facility affiliations
- HCA Florida Largo Hospital
- St Anthonys Hospital
- HCA Florida St Petersburg Hospital
- St Josephs Hospital
- Physicians Regional Medical Center - Pine Ridge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168436 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Team PA | Infectious Disease | Current | Accepting new patients |
Locations
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374
10460 Roosevelt Blvd N
St Petersburg, FL 33716
Phone (727) 259-9523
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jesus.diazvera@390434541404164.direct.elationemr.com
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Largo, FL
- NPI 1275007841
-
- Infectious Disease Physician
- Naples, FL
- NPI 1942167697
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1083177851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10460 ROOSEVELT BLVD N # 169",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337163821",
"telephone_number": "727-420-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 W BAY DR STE D",
"city": "LARGO",
"state": "FL",
"postal_code": "337702277",
"telephone_number": "727-420-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ VERA",
"first_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME168436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESUS",
"last_name": "DIAZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.