Individual provider Active NPI

Carlos Elvin Diaz, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Deming, NM
National Provider Identifier
1093797011
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
48484 Issued in AZ
Practice address
1515 S 8TH St
Deming, NM 88030-4940
Phone
(575) 544-3937
Fax
(575) 546-2870
NPI assigned
Nov 16, 2005
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD2014-0132 NM
Ophthalmology Physician 207W00000X 48484 AZ
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 48484 AZ Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD2014-0132 NM

Addresses

Primary practice location

1515 S 8TH St
Deming, NM 88030-4940

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other practice location 1

1151 S La Canada Dr Ste 200
Green Valley, AZ 85614-1943
Phone (602) 955-1000

Other practice location 2

2680 E Valencia Rd Ste 188
Tucson, AZ 85706-5962
Phone (520) 790-8888

Other identifiers 3

IdentifierTypeStateIssuer
878342MedicaidAZ
Z163113OtherAZMEDICARE PIMA PTAN
MD2014-0132MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140123001692 AZ Practitioner - Ophthalmology 1557445665 Reassigns benefits to 2 organizations
I20140623002539 NM Practitioner - Ophthalmology 1557445665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

698 E Wetmore Rd
Suite 100
Tucson, AZ 85705-1752
Phone (520) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48484AZMDOphthalmology Physician
MD2014-0132NMMDOphthalmology Physician
L6324TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Jan 6, 2014 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jan 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Jan 6, 2014 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Desert Peaks Surgery Center LLC PastSince Jan 26, 2020 Accepting new patients
Southwestern Eye Center Past Accepting new patients
Diaz Vision Center PA Ophthalmology PastSince Jan 1, 2008 Accepting new patients

Locations (25 of 61)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Apache Junction, AZ 85119
Phone (480) 982-0241

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

110 S Idaho Rd
Ste 260
Apache Junction, AZ 85119
Phone (480) 485-9580

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454

5658 Highway 260
Ste 3
Lakeside, AZ 85929
Phone (928) 537-5614

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

2610 E University Dr
Mesa, AZ 85213

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

355 W Mariposa Rd
Nogales, AZ 85621
Phone (520) 761-3533

13215 N 7th St
Phoenix, AZ 85022

Interoperability endpoints

  • Direct secure messaging: carlos.diaz@direct.avp.nextgenshare.com
  • Direct secure messaging: carlos.diazmd.p11@direct.avp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1093797011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 8TH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304940",
            "telephone_number": "575-544-3937",
            "fax_number": "575-546-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 S La Canada Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856141943",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2680 E Valencia Rd Ste 188",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857065962",
            "country_code": "US",
            "telephone_number": "520-790-8888",
            "fax_number": "520-790-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARLOS",
        "middle_name": "ELVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2014-0132",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "48484",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AZ",
            "license": "48484",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NM",
            "license": "MD2014-0132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "878342",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIMA PTAN",
            "identifier": "Z163113",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2014-0132",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.