Individual provider Active NPI

Angel A. Diaz, M.D.

  • Gastroenterology Physician
  • Geneva, NY
National Provider Identifier
1114946415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
205857 Issued in NY
Practice address
821 Pre Emption Rd Ste 300
Geneva, NY 14456-2061
Phone
(315) 787-5310
Fax
(315) 787-5314
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 205857 NY Primary

Addresses

Primary practice location

821 Pre Emption Rd Ste 300
Geneva, NY 14456-2061

Mailing address

821 Pre Emption Rd Ste 300
Geneva, NY 14456-2061
Phone (315) 787-5310

Other identifiers 1

IdentifierTypeStateIssuer
02146298MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111117000689 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2668658279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FLH Medical PCGroup PAC ID 6507922358, 47 clinicians

Practice addresses (Care Compare)

141 Central Ave
Keuka Park, NY 14478-9764
Phone (315) 279-5368

196 N St
Geneva, NY 14456-1651
Phone (315) 787-4580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
85.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy271
Upper gastrointestinal (GI) endoscopy for acid reflux209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC Gastroenterology CurrentSince Jun 1, 2016 Accepting new patients
FLH Medical, PC CurrentSince Jun 1, 2016 Accepting new patients
Finger Lakes Gastroenterology Gastroenterology PastSince Aug 1, 2003 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

821 Pre Emption Rd
Ste 300
Geneva, NY 14456
Phone (315) 787-5310

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

Interoperability endpoints

  • Direct secure messaging: a.diaz@flhmedical.medentdirect.com

Organizations & group practices 3

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114946415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD STE 300",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "315-787-5310",
            "fax_number": "315-787-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD STE 300",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "315-787-5310",
            "fax_number": "315-787-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "205857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02146298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.