Individual provider Active NPI

Diya K Alnajjar, MB.CHB.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1396232328
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME160391 Issued in FL
Practice address
17803 La Cantera Ter Apt 17803
San Antonio, TX 78256-2545
Phone
(210) 862-6141
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X ME160391 FL Primary

Addresses

Primary practice location

17803 La Cantera Ter Apt 17803
San Antonio, TX 78256-2545

Mailing address

40124 Highway 27 Ste 104
Davenport, FL 33837-5905
Phone (863) 421-7626

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
I20230815000745 FL Practitioner - General Surgery 1153783782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

615 Vonderburg Dr
Brandon, FL 33511-5972
Phone (941) 752-2837

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Tampa Bay Physician Specialists, LLC Surgery CurrentSince Jul 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc Surgery CurrentSince Aug 28, 2023 Accepting new patients

Locations

205 S Moon Ave
Ste 103
Brandon, FL 33511
Phone (813) 324-2613

615 Vonderburg Dr
Brandon, FL 33511
Phone (813) 421-4663

40124 Highway 27
Ste 104
Davenport, FL 33837
Phone (863) 421-7626

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: diya.alnajjar@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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 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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1396232328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40124 HIGHWAY 27 STE 104",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "863-421-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17803 LA CANTERA TER APT 17803",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562545",
            "telephone_number": "210-862-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNAJJAR",
        "first_name": "DIYA",
        "middle_name": "K",
        "credential": "MB.CHB.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME160391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.