Individual provider Active NPI

Romualdo Enrique Diaz, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1134531528
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD36274 Issued in AL
Practice address
813 Franklin St SE
Huntsville, AL 35801-4311
Phone
(256) 519-3650
Fax
(256) 585-6713
NPI assigned
May 20, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD36274 AL Primary

Addresses

Primary practice location

813 Franklin St SE
Huntsville, AL 35801-4311

Mailing address

104 Spenryn Dr
Madison, AL 35758-1890
Phone (256) 772-4300

Other practice location 1

104 Spenryn Dr
Madison, AL 35758-1890
Phone (256) 772-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170817002153 AL Practitioner - Family Practice 6507135662 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36274ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Dec 12, 2018 Accepting new patients
Patrick J Oneill M.D., P.C. CurrentSince Sep 1, 2017 Accepting new patients
Happi Health Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Happi Health Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Dec 12, 2018 Accepting new patients

Locations

1285 US Highway 72 E
Athens, AL 35611
Phone (256) 278-3004

813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488

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.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134531528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4300",
            "fax_number": "256-772-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014311",
            "telephone_number": "256-519-3650",
            "fax_number": "256-585-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Spenryn Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357581890",
            "country_code": "US",
            "telephone_number": "256-772-4300",
            "fax_number": "256-772-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROMUALDO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD36274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.