Active NPI
Diego Jose Covarrubias, MD
- Neuroradiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 326693
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 61382258 | WA | |
| Neuroradiology Physician | 2085N0700X | 0101287214 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 4301504400 | MI | |
| Neuroradiology Physician | 2085N0700X | 326693 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 24839 | OR | |
| Neuroradiology Physician | 2085N0700X | 4301504400 | MI |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29091 | Medicaid | OR | |
| 029091 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Irvine California College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
White Salmon, WA 98672
Phone (516) 405-7099
100 E 77TH St
New York, NY 10075-1850
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966
1333 Heroes Way
Riverhead, NY 11901-2029
Phone (631) 727-2755
1333 Roanoke Ave
Riverhead, NY 11901-2029
Phone (631) 727-2755
1335 California Ave SW
Seattle, WA 98116-1606
Phone (516) 405-7000
1421 3Rd Ave
New York, NY 10028-1899
Phone (212) 744-5538
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
496 County Rd
111 BLDG F1
Manorville, NY 11949-3388
Phone (631) 405-3240
496 County Rd 111
Manorville, NY 11949-3386
Phone (631) 405-3220
811 Panorama CT
White Salmon, WA 98672-2175
Phone (757) 466-0089
Hospital & facility affiliations
- North Shore University Hospital
- Sentara Norfolk General Hospital
- NS/Lij HS Southside Hospital
- Long Island Jewish Medical Center
- Sentara Leigh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 91.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301504400 | MI | MD | Neuroradiology Physician |
| 326693 | NY | MD | Neuroradiology Physician |
| 0101287214 | VA | MD | Neuroradiology Physician |
| 61382258 | WA | MD | Neuroradiology Physician |
| 24839 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Salem Health West Valley | Past | Accepting new patients | |
| Salem Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Salem Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Tanasbourne Radiology | Past | Accepting new patients |
Locations
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
600 Gresham Dr
Ste 700
Norfolk, VA 23507
Phone (757) 388-1700
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- dcovarrubias68508@northwell.direct-ci.com
- dcovarrubias1123948@direct.hfhs.org
- dcovarrubias143283@direct.covenanthealthcare.com
Organizations & group practices 7
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.
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
WA
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1114978418
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1649221813
-
- Specialist
- Aloha, OR
- NPI 1649242819
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1366493678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVARRUBIAS",
"first_name": "DIEGO",
"middle_name": "JOSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "WA",
"license": "61382258",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "VA",
"license": "0101287214",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301504400",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "326693",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "24839",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MI",
"license": "4301504400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29091",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029091",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.