NPIMap

Individual provider Active NPI

Leonel Diaz Jr., DO

  • Emergency Medicine Physician
  • Miramar, FL
National Provider Identifier
1366738965
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS13269 Issued in FL
Practice address
1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone
(954) 265-6307
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT013935 PA
Emergency Medicine Physician 207P00000X OS13269 FL Primary

Addresses

Primary practice location

1901 SW 172ND Ave
Miramar, FL 33029-5592

Mailing address

1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone (954) 265-6307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908002059 FL Practitioner - Emergency Medicine 8729225537 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

3280 Tamiami TRL
Suite 491
Port Charlotte, FL 33952-8053
Phone (941) 629-5118

7717 Collier Blvd
Suite 100
Naples, FL 34114-2768
Phone (239) 624-8220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1247
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13269FLMDEmergency Medicine Physician
OT013935PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jun 14, 2022 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jul 29, 2023 Accepting new patients
Nautilus Health Care Group LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jun 14, 2022 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince Dec 15, 2018 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine PastSince Mar 19, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

779 Medical Dr
Ste 4
Englewood, FL 34223
Phone (941) 473-9305

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

7717 Collier Blvd
Unit 100
Naples, FL 34114
Phone (239) 624-8220

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

3280 Tamiami Trl
Ste 491
Pt Charlotte, FL 33952
Phone (941) 629-5118

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1366738965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW 172ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-265-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW 172ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-265-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LEONEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT013935",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS13269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.