Individual provider Active NPI

Joseph David Diaz, M.D.

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1417948241
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G4980 Issued in TX
Practice address
2414 Babcock Rd
Suite 109
San Antonio, TX 78229-4870
Phone
(210) 616-0882
Fax
(210) 692-7833
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G4980 TX Primary

Addresses

Primary practice location

2414 Babcock Rd
Suite 109
San Antonio, TX 78229-4870

Mailing address

2414 Babcock Rd
Suite 109
San Antonio, TX 78229-4870
Phone (210) 616-0882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110309000160 TX Practitioner - Allergy/Immunology 4587846746 Reassigns benefits to 1 organization
I20250829002113 IL Practitioner - Allergy/Immunology 4587846746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma and Immunology Center SCGroup PAC ID 9830299247, 6 clinicians

Practice addresses (Care Compare)

325 Tamarack LN
Shiloh, IL 62269-2993
Phone (618) 624-2060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Immunology Associates of South Texas, P.a. Allergy & Immunology CurrentSince Aug 27, 1992 Accepting new patients
Allergy, Asthma & Immunology Center SC Allergy & Immunology CurrentSince Jun 20, 2025 Accepting new patients

Locations

2023 Vadalabene Dr
Ste 151
Maryville, IL 62062
Phone (618) 624-2060

325 Tamarack Ln
Shiloh, IL 62269
Phone (618) 624-2060

2424 Babcock Rd
Ste 301
San Antonio, TX 78229
Phone (210) 538-7678

2414 Babcock Rd
Ste 109
San Antonio, TX 78229
Phone (210) 616-0882

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.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1417948241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BABCOCK RD",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294870",
            "telephone_number": "210-616-0882",
            "fax_number": "210-692-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BABCOCK RD",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294870",
            "telephone_number": "210-616-0882",
            "fax_number": "210-692-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "G4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.