Individual provider Active NPI

Diana Cardona-Grau

  • Pediatric Urology Physician
  • Orlando, FL
National Provider Identifier
1376834820
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
V6774 Issued in TX
Practice address
1725 Cook Ave
Orlando, FL 32806-2911
Phone
(321) 843-9017
Fax
(321) 843-9019
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X ME135480 FL
Pediatric Urology Physician 2088P0231X V6774 TX Primary

Addresses

Primary practice location

1725 Cook Ave
Orlando, FL 32806-2911

Mailing address

1725 Cook Ave
Orlando, FL 32806-2911
Phone (321) 843-9017

Other practice location 1

5400 Alameda Ave
El Paso, TX 79905-2914
Phone (915) 298-5444

Other practice location 2

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Other identifiers 1

IdentifierTypeStateIssuer
024234100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180716000538 FL Practitioner - UrologyPractitioner - Pediatric Medicine 3577833722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6774TXMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

1725 Cook Ave
Orlando, FL 32806
Phone (321) 843-9017

Interoperability endpoints

  • Direct secure messaging: dcardonagrau27345@orlandohealth.medalliesdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1376834820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 COOK AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062911",
            "telephone_number": "321-843-9017",
            "fax_number": "321-843-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 COOK AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062911",
            "telephone_number": "321-843-9017",
            "fax_number": "321-843-9019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052914",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA-GRAU",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME135480",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "V6774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024234100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.