Individual provider Active NPI

Diane Katherine Fiander, MD

  • Retina Specialist (Ophthalmology) Physician
  • Traverse City, MI
National Provider Identifier
1295092971
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301101391 Issued in MI
Practice address
860 E Front St
Traverse City, MI 49686
Phone
(231) 938-0710
Fax
(231) 938-0264
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A143150 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X 143150 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301101391 MI Primary

Addresses

Primary practice location

860 E Front St
Traverse City, MI 49686

Mailing address

39650 Orchard Hill PL Ste 200
Novi, MI 48375-5391
Phone (248) 319-0161

Other practice location 1

952 N Center Ave
Gaylord, MI 49735-9375
Phone (989) 448-0937

Other practice location 2

1301 US Highway 131
Petoskey, MI 49770-8896
Phone (231) 439-9230

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dfiander@arcmi.intellechartdirect.net
Direct Messaging Address dfiander@arcmi.intellechartdirect.net
Direct Messaging Address dfiander@arcmi.intellechartdirect.net

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
I20180706000069 MI Practitioner - Ophthalmology 6800194747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

3555 W 13 Mile Rd
Suite LL 20
Royal Oak, MI 48073-6710
Phone (248) 288-2280

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143150CAMDMarriage & Family Therapist
A143150CAMDOphthalmology Physician
4301101391MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Aug 24, 2018 Accepting new patients
Alliance Physicians Inc PastSince May 26, 2022 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
Diabetes Reimbursement Specialists Ophthalmology Past Accepting new patients

Locations

952 N Center Ave
Gaylord, MI 49735
Phone (989) 448-0937

1301 US Highway 131
Petoskey, MI 49770
Phone (231) 347-2100

4085 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 439-9230

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

Interoperability endpoints

  • Direct secure messaging: dfiander@arcmi.intellechartdirect.net

Organizations & group practices 4

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1295092971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-938-0710",
            "fax_number": "231-938-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "952 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497359375",
            "country_code": "US",
            "telephone_number": "989-448-0937",
            "fax_number": "989-448-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 US Highway 131",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497708896",
            "country_code": "US",
            "telephone_number": "231-439-9230",
            "fax_number": "231-439-9296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIANDER",
        "first_name": "DIANE",
        "middle_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A143150",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "143150",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301101391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfiander@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "952 N Center Ave",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497359375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfiander@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1301 US Highway 131",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497708896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfiander@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "860 E Front St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.