Organization Active NPI

Select Internal Medicine PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1215681176
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SELECT INTERNAL MEDICINE PLLC
Practice address
13108 Dallas Pkwy Ste 430
Frisco, TX 75033-4246
Phone
(469) 200-5301
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dina Diehl, MDNPI 1083732812
Title
Owner
Phone
(469) 200-5301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13108 Dallas Pkwy Ste 430
Frisco, TX 75033-4246

Mailing address

13108 Dallas Pkwy Ste 430
Frisco, TX 75033-4246
Phone (469) 200-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220723000163 TX Part B Supplier - Clinic/Group Practice 5395126569 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2265959Select Internal Medicine13108 Dallas Pkwy Suite 430, Frisco, TX 75033Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

13108 Dallas Pkwy
Ste 430
Frisco, TX 75033
Phone (469) 200-5301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25851/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1215681176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13108 DALLAS PKWY STE 430",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334246",
            "telephone_number": "469-200-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13108 DALLAS PKWY STE 430",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334246",
            "telephone_number": "469-200-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-200-5301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.