Individual provider Active NPI

Christopher David Diaz, M.D.

  • Emergency Medicine Physician
  • Tyler, TX
National Provider Identifier
1376530188
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9692 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 593-8441
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.085504 OH
Emergency Medicine Physician 207P00000X N9692 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000

Other identifiers 16

IdentifierTypeStateIssuer
P00966738OtherTXRAIL ROAD
283196801MedicaidTX
75-2616977-001OtherTXTRICARE
8DQ153OtherTXBCBS
283196802MedicaidTX
75-2616977-028OtherTXTRICARE
8CV291OtherTXBCBS
283196803MedicaidTX
75-0818167-044OtherTXTRICARE
75-2616977-002OtherTXTRICARE
8EZ069OtherTXBCBS
283196809MedicaidTX
75-0818167-048OtherTXTRICARE
P01464105OtherTXRAIL ROAD MEDICARE
750818167022OtherTXTRICARE
8CV290OtherTXBCBS

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
I20110805000511 TX Practitioner - Emergency Medicine 1355492356 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Emergency Services Physician Group-Houston PLLC 212 clinicians

Practice addresses (Care Compare)

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.085504OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 22, 2019 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Jul 14, 2016 Accepting new patients
United Regional Health Care System Inc General Practice Current Accepting new patients
Scott & White Clinic Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 23, 2018 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Feb 28, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2015 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Jul 14, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2015 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jul 1, 2011 Accepting new patients
Ohio Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Mother Frances Hospital Winnsboro Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine Past Accepting new patients

Locations (25 of 34)

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1201 W Frank Ave
#E
Lufkin, TX 75904
Phone (936) 639-7706

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

3515 Rayford Rd
Spring, TX 77386
Phone (832) 510-6576

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: cdiaz3765@christushealth.direct-ci.net
  • Direct secure messaging: cdiaz13656@unitedregional.medalliesdirect.net
  • Direct secure messaging: cdiaz355315@ahs.direct-ci.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1376530188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841656",
            "telephone_number": "903-531-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-593-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.085504",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00966738",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283196801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DQ153",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283196802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-028",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV291",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283196803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EZ069",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283196809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-048",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01464105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "750818167022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV290",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.