Individual provider Active NPI

Kristan Tara Diaz-Rios, MD

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1326396078
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4210 Issued in TX
Practice address
1000 E Dove Ave
McAllen, TX 78504-3974
Phone
(956) 362-3520
Fax
(956) 362-3529
NPI assigned
Aug 28, 2012
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2012-0625 NM
Obstetrics & Gynecology Physician 207V00000X MD2012-0625 NM
Family Medicine Physician 207Q00000X R4210 TX Primary

Addresses

Primary practice location

1000 E Dove Ave
McAllen, TX 78504-3974

Mailing address

2102 Treasure Hills Blvd # 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437

Other identifiers 3

IdentifierTypeStateIssuer
81233388MedicaidNM
358318YKWYOtherNMMEDICARE PTAN
3787715-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171214002988 TX Practitioner - Family Practice 6103078878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Doctors GroupGroup PAC ID 7315918976, 8 clinicians

Practice addresses (Care Compare)

910 S Bryan Rd
Suite 104
Mission, TX 78572-6615
Phone (956) 591-0890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2012-0625NMMDFamily Medicine Physician
R4210TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Doctors Group Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

910 S Bryan Rd
Ste 103
Mission, TX 78572
Phone (956) 519-3523

910 S Bryan Rd
Ste 104
Mission, TX 78572
Phone (956) 591-0890

910 S Bryan Rd
Ste 205
Mission, TX 78572
Phone (956) 323-9000

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1326396078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD # 3.14406",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1437",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043974",
            "telephone_number": "956-362-3520",
            "fax_number": "956-362-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-RIOS",
        "first_name": "KRISTAN",
        "middle_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2012-0625",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2012-0625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81233388",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "358318YKWY",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3787715-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.