Andrea Diaz de Vivar, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

N2470 Issued in TX

Practice address

2525 W Bellfort Street
Ste 120
Houston, TX 77054-5024

Phone

(713) 741-6677

Fax

(713) 748-5860

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pathology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Childrens HospitalGroup PAC ID 0244298446, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Childrens Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1487600334
  Medicare reassignment Care Compare group
• Brown & Associates Medical Laboratories, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1912981747
  Medicare reassignment NPD
• Brown & Associates Medical Laboratories LLP

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1588649016

  Anatomic Pathology & Clinical Pathology

  NPD
• Baylor College of Medicine

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1609850445

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Methodist Pathology Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Sugar Land, TX
  • NPI 1508824806
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1225355845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421849",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421849",
            "telephone_number": "713-559-6929",
            "fax_number": "713-559-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT STREET",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545024",
            "telephone_number": "713-741-6677",
            "fax_number": "713-748-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DE VIVAR",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291402006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nijah Diaw
• Ouly N Diaw, FNP
• Samiya Fatimah Diawara
• Alberto Diaz de Leon III, M.D.
• Eyleen Diaz de Moya, RBT
• Mildrey Diaz del Riego
• Alianet Diaz Enriquez, NP
• Darlenys Diaz Garcia
• Keyla Diaz Gazmuri
• Maylin Diaz Lopez, FNP

• Anatomic Pathology & Clinical Pathology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.

Verify at the official NPI Registry.