NPIMap

Individual provider Active NPI

Rex Galam Diaz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1376578922
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01033000814 Issued in VA
Practice address
725 Volvo Pkwy Ste 210
Chesapeake, VA 23320-1621
Phone
(757) 252-4200
Fax
(757) 410-9670
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01033000814 VA Primary

Addresses

Primary practice location

725 Volvo Pkwy Ste 210
Chesapeake, VA 23320-1621

Mailing address

725 Volvo Pkwy Ste 210
Chesapeake, VA 23320-1621
Phone (757) 252-4200

Other practice location 1

612 Kingsborough Sq Ste 202
Chesapeake, VA 23320-5054
Phone (757) 673-8562

Other identifiers 2

IdentifierTypeStateIssuer
010135729MedicaidVA
5411080001OtherVAMEDICARE-DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041214000903 VA Practitioner - Podiatry 5890752588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

725 Volvo Pkwy
210A
Chesapeake, VA 23320-1602
Phone (757) 261-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue380
Removal of skin lesions29
Removal of nail tissue334
Removal or shaving of skin growth71
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01033000814VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Apr 1, 2014 Accepting new patients
Podiatry LTD PastSince Jul 1, 1992 Accepting new patients
Seva Foot and Ankle Center Foot & Ankle Surgery PastSince Jun 23, 2018 Accepting new patients

Locations

725 Volvo Pkwy
Ste 210
Chesapeake, VA 23320
Phone (757) 252-4130

725 Volvo Pkwy
#210A
Chesapeake, VA 23320
Phone (757) 261-5000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

171 N Main St
Suffolk, VA 23434
Phone (757) 934-0768

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rdiaz26968@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1376578922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201621",
            "telephone_number": "757-252-4200",
            "fax_number": "757-410-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201621",
            "telephone_number": "757-252-4200",
            "fax_number": "757-410-9670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Kingsborough Sq Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205054",
            "country_code": "US",
            "telephone_number": "757-673-8562",
            "fax_number": "757-673-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "REX",
        "middle_name": "GALAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "01033000814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010135729",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-DME",
            "identifier": "5411080001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.