Concepcion Ravelo Diaz-Arrastia, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

J1651 Issued in TX

Practice address

1213 Hermann Dr Ste 675
Houston, TX 77004-7083

Phone

(713) 756-8555

Fax

(713) 756-8305

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/GynecologyAlso: Gynecological Oncology

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: cdiazarrastia27360@prddirect.texaschildrens.org
• Direct secure messaging: cdiazarrastia2071815@nychhc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FBFECD/Endpoint/FBFECD

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.

• Baylor College of Medicine

  dba HCHD Community Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914
  Medicare reassignment NPD
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  Medicare reassignment NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD
• Elizabeth Bonefas, MD, PA

  • Surgery Physician
  • Houston, TX
  • NPI 1780876201
  NPD
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD
• Advantage Health Saint Mary'S Medical Group

  dba Trinity Health Medical Group Orthopedics Grand Rapids

  • Orthopaedic Surgery Physician
  • Byron Center, MI
  • NPI 1003515008
  NPD
• Advantage Health Saint Mary'S Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1952340911
  NPD
• Advantage Health/Saint Mary'S Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1376862151
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• New York City Health and Hospitals Corporation

  dba Kings County Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1043224355
  NPD (past)

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

• New York City Health and Hospitals Corporation

  dba Kings County Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1043224355
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1104986553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047083",
            "telephone_number": "713-756-8555",
            "fax_number": "713-756-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047083",
            "telephone_number": "713-756-8555",
            "fax_number": "713-756-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ARRASTIA",
        "first_name": "CONCEPCION",
        "middle_name": "RAVELO",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "J1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124926003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoandy Diaz Morales, SA-C
• Esmeralda Diaz Perez
• Humberto Jose Diaz Silva, MD
• Roselia Diaz Suri, FNP-C
• Susana Diaz Villanueva
• Corina Diaz-Bajsel, D.D.S.
• Jose Diaz-Gomez, MD
• Yusimil Alexandra Diaz-Rodriguez
• Daniel Jose Diaz-Ruiz, RN
• Alejandro Diaz, DC

• Gynecologic Oncology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Gynecologic Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.

Verify at the official NPI Registry.