NPIMap

Individual provider Active NPI

John Diakiw, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1245208081
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD023799E Issued in PA
Practice address
748 Quincy Ave
Suite 1a
Scranton, PA 18510-1739
Phone
(570) 347-9600
Fax
(570) 342-0681
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD023799E PA Primary

Addresses

Primary practice location

748 Quincy Ave
Suite 1a
Scranton, PA 18510-1739

Mailing address

748 Quincy Ave
Suite 1a
Scranton, PA 18510-1739
Phone (570) 347-9600

Other identifiers 1

IdentifierTypeStateIssuer
0010095930005MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.diakiw.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100127000077 PA Practitioner - Internal Medicine 4284776477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

748 Quincy Ave
Scranton, PA 18510-1739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD023799EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

748 Quincy Ave
Ste 1A
Scranton, PA 18510
Phone (570) 342-5253

Interoperability endpoints

  • Direct secure messaging: john.diakiw.1@21771.direct.athenahealth.com

Organizations & group practices 2

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1245208081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "SUITE 1A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-347-9600",
            "fax_number": "570-342-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "SUITE 1A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-347-9600",
            "fax_number": "570-342-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAKIW",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD023799E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010095930005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.diakiw.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "748 Quincy Ave",
            "address_2": "Suite 1A",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.