Individual provider Active NPI

Daniela J Capriles Diaz, M.D.

  • Internal Medicine Physician
  • Concord, MA
National Provider Identifier
1104000884
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234329 Issued in MA
Practice address
131 Old Road to Nine Acre Corner, John Cuming Building
Suite 640
Concord, MA 01742
Phone
(978) 317-0796
Fax
(508) 363-5430
NPI assigned
Dec 18, 2007
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234329 MA Primary

Addresses

Primary practice location

131 Old Road to Nine Acre Corner, John Cuming Building
Suite 640
Concord, MA 01742

Mailing address

131 Old Road to Nine Acre Corner, John Cuming Building
Suite 640
Concord, MA 01742
Phone (978) 317-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080509000126 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7012096423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Leelhan PCGroup PAC ID 5294093092, 2 clinicians

Practice addresses (Care Compare)

131 Ornac
Suite 640
Concord, MA 01742-4162
Phone (978) 371-0796

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leelhan, P.C. CurrentSince Oct 26, 2017 Accepting new patients
Emerson Hospital Current Accepting new patients
Thomas a. Lamattina MD PC CurrentSince Jun 28, 2020 Accepting new patients
Quincy Physician Corporation Internal Medicine Past Accepting new patients
Reliant Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

131 Ornac
Ste 640
Concord, MA 01742
Phone (978) 371-0762

588 Boston Post Rd
Weston, MA 02493

Interoperability endpoints

  • Direct secure messaging: caprilesdiaz.daniela.epho@direct.partners.masshiway.net

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1104000884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER, JOHN CUMING BUILDING",
            "address_2": "SUITE 640",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-317-0796",
            "fax_number": "508-363-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER, JOHN CUMING BUILDING",
            "address_2": "SUITE 640",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-317-0796",
            "fax_number": "508-363-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRILES DIAZ",
        "first_name": "DANIELA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.