Individual provider Active NPI

Mark Diamond, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Rochester Hills, MI
National Provider Identifier
1336589035
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301512337 Issued in MI
Practice address
319 Strawberry Dr
Rochester Hills, MI 48307-4944
Phone
(973) 985-5570
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10801 SD
Physical Medicine & Rehabilitation Physician 208100000X 4301512337 MI Primary

Addresses

Primary practice location

319 Strawberry Dr
Rochester Hills, MI 48307-4944

Mailing address

319 Strawberry Dr
Rochester Hills, MI 48307-4944
Phone (973) 985-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MI, IL, MN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180926001332 SD Practitioner - Physical Medicine and Rehabilitation 8426350372 Reassigns benefits to 1 organization
I20240809001570 MI Practitioner - Physical Medicine and Rehabilitation 8426350372 Reassigns benefits to 1 organization
I20251209004404 IL Practitioner - Physical Medicine and Rehabilitation 8426350372 Reassigns benefits to 1 organization
I20251217001622 MN Practitioner - Physical Medicine and Rehabilitation 8426350372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

2013 Midwest Rd
Oak Brook, IL 60523-1312
Phone (630) 495-0220

34225 Grand River Ave
Farmington, MI 48335-3440
Phone (248) 477-7373

5123 W 98TH St
Suite 2001
Minneapolis, MN 55437-2040
Phone (815) 846-0871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512337MIMDPhysical Medicine & Rehabilitation Physician
10801SDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Aug 1, 2018 Accepting new patients
Avera McKennan CurrentSince Aug 1, 2018 Accepting new patients
Applebaum Physiatry PLLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2024 Accepting new patients

Locations

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

128 S East St
Unit 1109
Crown Point, IN 46308

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

2319 7th St W
Saint Paul, MN 55116
Phone (651) 251-3078

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

1301 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-7300

Interoperability endpoints

  • Direct secure messaging: mark.diamond@avera.sdhealthlink.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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1336589035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 STRAWBERRY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074944",
            "telephone_number": "973-985-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 STRAWBERRY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074944",
            "telephone_number": "973-985-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "10801",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301512337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.