Ruth G Diaz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116667 Issued in NY

Practice address

515 Route 111
FL 2
Hauppauge, NY 11788-4339

Phone

(631) 224-1819

Fax

(631) 224-1812

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal Medicine

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Medical Associates PLLCGroup PAC ID 7911136809, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Comprehensive Medical Associates PLLC

  • General Practice Physician
  • Hauppauge, NY
  • NPI 1518208792
  Medicare reassignment Care Compare group NPD
• Extended Nursing Personnel Chha, LLC

  dba Extended Home Care

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  NPD (past)
• Transformations Counseling Group LCSW PLLC

  dba Transformation Counseling Group

  • Clinical Social Worker
  • Hauppauge, NY
  • NPI 1902219512
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1235119066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "address_2": "FL 2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-224-1819",
            "fax_number": "631-224-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "address_2": "FL 2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-224-1819",
            "fax_number": "631-224-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RUTH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2188984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "10438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "OH283P",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847970",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE OF NY",
            "identifier": "040426010368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "26047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "582902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1309464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjib Dey
• Harkaran Dhillon
• Christy Diamond, MHC-LP
• Ashlee Diaz, OTR/L
• Jerilyn D. Diaz, MS, CCC-SLP
• Shaun Dieterich, LMHC
• Eileen Mary Dimarzo, CRC
• Michelle Dinapoli, M.S. CCC-SLP
• Jennifer Luleen Dolan
• Amy Dolce

• Internal Medicine Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.