Individual provider Active NPI

Marlene Diaz, M.D.

  • Gynecology Physician
  • Plano, TX
National Provider Identifier
1427166644
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J1971 Issued in TX
Practice address
3060 Communications Pkwy Ste 105
Plano, TX 75093-8464
Phone
(972) 535-8000
Fax
(972) 403-8003
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1971 TX
Gynecology Physician 207VG0400X J1971 TX Primary

Addresses

Primary practice location

3060 Communications Pkwy Ste 105
Plano, TX 75093-8464

Mailing address

3060 Communications Pkwy
Ste 105
Plano, TX 75093-8464
Phone (972) 535-8000

Other identifiers 1

IdentifierTypeStateIssuer
J1971OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110317000470 TX Practitioner - Obstetrics/Gynecology 1759467749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3060 Communications Pkwy
Suite 105
Plano, TX 75093-8464
Phone (972) 535-8000

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1971TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Wellness Medical PLLC Gynecology CurrentSince Apr 16, 2019 Accepting new patients

Locations

3060 Communications Pkwy
Ste 105
Plano, TX 75093
Phone (972) 394-8182

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1427166644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938464",
            "telephone_number": "972-535-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938464",
            "telephone_number": "972-535-8000",
            "fax_number": "972-403-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1971",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J1971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "J1971",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.