Individual provider Active NPI

Diane A Vista-Deck, MD

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1265479703
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301070797 Issued in MI
Practice address
4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone
(313) 745-0499
Fax
(313) 833-8801
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301070797 MI
Obstetrics & Gynecology Physician 207V00000X 4301070797 MI Primary

Addresses

Primary practice location

4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461

Mailing address

2306 Momentum Place
Chicago, IL 60689-5323
Phone (810) 720-5715

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060706000238 MI Practitioner - Obstetrics/Gynecology 5395757504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians
Metro Women's Health II, PLLCGroup PAC ID 5092896787, 3 clinicians

Practice addresses (Care Compare)

4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone (313) 833-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070797MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
Metro Women's Health II, PLLC Obstetrics & Gynecology CurrentSince Dec 1, 2007 Accepting new patients
Global Home Care Inc Current Accepting new patients
University Women's Care, Inc Obstetrics & Gynecology Past Accepting new patients
Kmak Hendrix & McNeeley PLLC Obstetrics & Gynecology Past Accepting new patients
University Physician Group Obstetrics & Gynecology Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients
Hutzel Womens Health Specialists PastSince Jun 27, 2021 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients

Locations

7148 Reliable Pkwy
Chicago, IL 60686

4727 Saint Antoine St
Ste 304
Detroit, MI 48201
Phone (313) 745-0499

9015 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 213-4906

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (586) 558-1110

Interoperability endpoints

  • Direct secure messaging: diane.vista-deck.1@23753.direct.athenahealth.com
  • Direct secure messaging: dvista@direct.dmc.org
  • FHIR API: https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c654365-4e23-4939-9491-d281db1c1688/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Global Home Care, IncTroy, MI, CCN 237252 Home health agency 5% Or Greater Direct Ownership Interest (10%)
Corporate Director
Apr 16, 2010
Jan 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1265479703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MOMENTUM PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895323",
            "telephone_number": "810-720-5715",
            "fax_number": "810-732-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "SUITE 304",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-745-0499",
            "fax_number": "313-833-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTA-DECK",
        "first_name": "DIANE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301070797",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301070797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.