Kevin Ray Diel, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

30614 Issued in AL

Practice address

1800 US Highway 84 W
Opp, AL 36467-3520

Phone

(334) 493-4357

Fax

(334) 222-3825

NPI assigned

Nov 2, 2005

Last updated

Oct 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25086/brand/1/csg/1/fhir/r4

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.

• Andalusia Medical Center, LLC

  • General Practice Physician
  • Opp, AL
  • NPI 1831479781
  Authorized official Same address or phone

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1316938079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEL",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2004010176",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "30614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127794",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I016582",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Elliott Daugherty, PT
• Daughtry Pharmacy (Ted's Pharmacy)
• Daughtry Pharmacy, LLC (Ted's Pharmacy)
• Steven J Davis Sr., DO
• Retha Leeann Dearden, RBT
• Joshua Jonathan Driver, O.D.
• Robin Gayle Eckert, RN
• Mikiya Nikierra Edwards
• Emcare Physician Providers, Inc.
• Encore Rehabilitation, Inc. (Encore Rehab of Opp)

• General Practice Physician in Opp, AL
• Providers in Opp, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.