Individual provider Active NPI

Alondra Diaz, PA- C

  • Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1417600883
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4302 Alton Rd Ste 220
Miami Beach, FL 33140-2818
Phone
(305) 674-2121
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4302 Alton Rd Ste 220
Miami Beach, FL 33140-2818

Mailing address

1555 NE 182ND St
North Miami Beach, FL 33162-1419

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420003040 FL Practitioner - Physician Assistant 6305233370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone (305) 674-2090

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: adiaz48286@direct.msmc.com

Organizations & group practices 1

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 2

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1417600883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE 182ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 220",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402818",
            "telephone_number": "305-674-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALONDRA",
        "credential": "PA- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.