Active NPI
Carlos Elvin Diaz, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Deming, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 48484
- 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, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 878342 | Medicaid | AZ | |
| Z163113 | Other | AZ | MEDICARE PIMA PTAN |
| MD2014-0132 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 84.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48484 | AZ | MD | Ophthalmology Physician |
| MD2014-0132 | NM | MD | Ophthalmology Physician |
| L6324 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Eye Center LTD | Ophthalmology | Current | Accepting new patients |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Current | Accepting new patients |
| Southwestern Eye Center, LTD | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Past | Accepting new patients |
| Desert Peaks Surgery Center LLC | Past | Accepting new patients | |
| Southwestern Eye Center | Past | Accepting new patients | |
| Diaz Vision Center PA | Ophthalmology | Past | 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
- carlos.diaz@direct.avp.nextgenshare.com
- 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.
-
dba American Vision Partners
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1376574707
-
- Ophthalmology Physician
- Boerne, TX
- NPI 1861672156
-
dba American Vision Partners
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1043910078
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
-
- Ambulatory Surgical Clinic/Center
- Las Cruces, NM
- NPI 1093368151
-
dba American Vision Partners
- Ophthalmology Physician
- Cottonwood, AZ
- NPI 1013952522
-
dba Southwestern Eye Surgicenter-Show Low
- Ambulatory Surgical Clinic/Center
- Show Low, AZ
- NPI 1104866904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.