Individual provider Active NPI

Alberto A Diaz-Arias, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, MO
National Provider Identifier
1124072335
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
36752 Issued in MO
Practice address
300 Portland St Ste 110
Columbia, MO 65201-7390
Phone
(573) 886-4600
Fax
(573) 886-4695
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 36752 MO Primary

Addresses

Primary practice location

300 Portland St Ste 110
Columbia, MO 65201-7390

Mailing address

300 Portland St Ste 110
Columbia, MO 65201-7390
Phone (573) 886-4600

Other identifiers 7

IdentifierTypeStateIssuer
203171103MedicaidMO
533976OtherMOIOWA MEDICAID
1104040OtherMOUNITED HEALTHCARE
126603OtherMOHEALTHLINK
127403OtherMOBLUE SHIELD/BLUE CHOICE
138623001OtherMOARKANSAS MEDICAID
2086329201OtherMOKANSAS MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070515000336 MO Practitioner - Pathology 5799882452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Columbia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boyce and Bynum Pathology Professional Services IncGroup PAC ID 0042384976, 15 clinicians

Practice addresses (Care Compare)

601 E 14TH St
Sedalia, MO 65301-5972
Phone 57388646004608

Hospital & facility affiliations

  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
75.56
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boyce - Bynum Pathology Laboratories, Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1124072335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PORTLAND ST STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017390",
            "telephone_number": "573-886-4600",
            "fax_number": "573-886-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PORTLAND ST STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017390",
            "telephone_number": "573-886-4600",
            "fax_number": "573-886-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ARIAS",
        "first_name": "ALBERTO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "36752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203171103",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "533976",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1104040",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "126603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CHOICE",
            "identifier": "127403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAID",
            "identifier": "138623001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAID",
            "identifier": "2086329201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.