Individual provider Active NPI

Michael Diaz, MD

  • Specialist
  • Melbourne, FL
National Provider Identifier
1295748176
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME74679 Issued in FL
Practice address
1513 S Harbor City Blvd
Melbourne, FL 32901
Phone
(321) 951-2639
Fax
(321) 914-0938
NPI assigned
Aug 14, 2006
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME74679 FL Primary

Addresses

Primary practice location

1513 S Harbor City Blvd
Melbourne, FL 32901

Mailing address

1513 S Harbor City Blvd
Melbourne, FL 32901-4681
Phone (321) 951-2639

Other practice location 1

1344 S Apollo Blvd
Suite 100
Melbourne, FL 32901-3183
Phone (321) 951-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031215000485 FL Practitioner - Plastic and Reconstructive Surgery 3577460963 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Diaz M.D. P.a. CurrentSince Aug 1, 2016 Accepting new patients

Locations

1513 S Harbor City Blvd
Melbourne, FL 32901
Phone (321) 951-2639

Interoperability endpoints

  • Direct secure messaging: mdiaz71803@epicdirect.hf.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1295748176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014681",
            "telephone_number": "321-951-2639",
            "fax_number": "321-914-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-951-2639",
            "fax_number": "321-914-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 S Apollo Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013183",
            "country_code": "US",
            "telephone_number": "321-951-3223",
            "fax_number": "321-727-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.