Diane Towako Siegel, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DR.0068751 Issued in CO

Practice address

1400 Dry Creek Dr
Longmont, CO 80503-6499

Phone

(303) 772-3300

Fax

(303) 682-3380

NPI assigned

Apr 3, 2018

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Ophthalmology

Education

Emory University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Center of Northern Colorado, PCGroup PAC ID 6507834181, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longmont United Hospital Hospital, Longmont, CO, CCN 060003
• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsiegel@eccnc.intellechartdirect.net

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.

• Eye Care Center of Northern Colorado, PC

  • Ophthalmology Physician
  • Longmont, CO
  • NPI 1740314483
  Medicare reassignment Care Compare group NPD

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

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  Care Compare affiliation
• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1316443914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036499",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036499",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Center Green Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012333",
            "country_code": "US",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Exempla Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263389",
            "country_code": "US",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "DIANE",
        "middle_name": "TOWAKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0068751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Shruba, M.A. CCC-SLP
• Dee Shuler-Woodard II
• Jonathan C Shum, DC
• Sonya Sia, DVM
• Stephen Scott Sidwell, DDS
• Christine A Sigg, DC
• Nicole Silva, DPT
• Deborah Silver, LPCC, R-DMT
• Cindy M Silvis, PSYD
• Theresa Rose Simard, M.D.

• Ophthalmology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.