NPIMap

Individual provider Active NPI

Jose M Diaz, M.D.

  • Neurology Physician
  • Katy, TX
National Provider Identifier
1194721480
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J0942 Issued in TX
Practice address
507 Park Grove Dr
Katy, TX 77450-1759
Phone
(281) 206-2127
Fax
(812) 206-2127
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J0942 TX Primary

Addresses

Primary practice location

507 Park Grove Dr
Katy, TX 77450-1759

Mailing address

507 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 206-2127

Other identifiers 3

IdentifierTypeStateIssuer
153449704OtherTXMNA MDCD GRP TPI HARRIS CO
00106WOtherTXMNA GRP PTAN # HARRIS CO
D6392OtherTXMNA GRP RR MDCR PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000345 TX Practitioner - Neurology 2860495538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University Central del Caribe Escuela de Medicina, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

507 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 206-2127

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
Ut Physicians CurrentSince Sep 1, 2019 Accepting new patients

Locations

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

507 Park Grove Dr
Katy, TX 77450
Phone (281) 206-2127

Interoperability endpoints

  • Direct secure messaging: jdiaz65617@memorialhermann.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1194721480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501759",
            "telephone_number": "281-206-2127",
            "fax_number": "281-206-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501759",
            "telephone_number": "281-206-2127",
            "fax_number": "812-206-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J0942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNA MDCD GRP TPI HARRIS CO",
            "identifier": "153449704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNA GRP PTAN # HARRIS CO",
            "identifier": "00106W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNA GRP RR MDCR PTAN",
            "identifier": "D6392",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.