Active NPI
Daniel A Diener, MD
- Surgery Physician
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01052698A
- Practice address
- 2006 S Main St
Suite a
Goshen, IN 46526-5232 - Phone
- (574) 535-9100
- Fax
- (574) 535-1020
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01052698A | IN | Primary |
Addresses
Primary practice location
2006 S Main St
Suite a
Goshen, IN 46526-5232
Mailing address
2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100
Other practice location 1
1355 Mariners Dr
Warsaw, IN 46582-7145
Phone (574) 535-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200269110 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@gsa.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Puerto Rico School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100
207 N Townline Rd
101 PPG General Surgery
Lagrange, IN 46761-1325
Phone (260) 463-9335
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 22 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System, Inc. | Surgery | Current | Accepting new patients |
| Parkview Health System Inc | Surgery | Current | Accepting new patients |
| Gerig Surgical Associates PC | Surgery | Current | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
2006 S Main St
#A
Goshen, IN 46526
Phone (574) 535-9100
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
207 N Townline Rd
Ste 101
Lagrange, IN 46761
Phone (260) 463-9316
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
Interoperability endpoints
- ddiener5017@direct.parkviewexchange.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72532
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 and National Provider Directory roles.
-
- Surgery Physician
- Goshen, IN
- NPI 1538152392
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1144214560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 S MAIN ST",
"address_2": "SUITE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265232",
"telephone_number": "574-535-9100",
"fax_number": "574-535-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 S MAIN ST",
"address_2": "SUITE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265232",
"telephone_number": "574-535-9100",
"fax_number": "574-535-1020"
}
],
"practiceLocations": [
{
"address_1": "1355 Mariners Dr",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465827145",
"country_code": "US",
"telephone_number": "574-535-9100",
"fax_number": "574-535-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIENER",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01052698A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200269110",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical@gsa.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2006 S Main St",
"address_2": "Suite A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465265232",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.