Individual provider Active NPI

Luis Leon Diaz, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1457356461
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
NV6124 Issued in NV
Practice address
2880 N Tenaya Way Ste 405
Las Vegas, NV 89128-0642
Phone
(702) 233-0755
Fax
(702) 233-8814
NPI assigned
Jun 16, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NV6124 NV Primary

Addresses

Primary practice location

2880 N Tenaya Way Ste 405
Las Vegas, NV 89128-0642

Mailing address

2880 N Tenaya Way Ste 405
Las Vegas, NV 89128-0642
Phone (702) 233-0755

Other practice location 1

653 N Town Center Dr
Ste 312
Las Vegas, NV 89144-0520
Phone (702) 233-0755

Other identifiers 1

IdentifierTypeStateIssuer
2019070MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20060123000391 NV Practitioner - Neurology 6305860990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2880 N Tenaya Way
Suite 405
Las Vegas, NV 89128-0448

2880 N Tenaya Way
Suite 405
Las Vegas, NV 89128-0642

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NV6124NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Leon Diaz MD PC Specialist CurrentSince Dec 28, 2009 Accepting new patients
Summerlin Hospital Medical Center L L C PastSince Jul 24, 2022 Accepting new patients

Locations

653 N Town Center Dr
Ste 312
Las Vegas, NV 89144
Phone (702) 233-0755

2880 N Tenaya Way
Ste 405
Las Vegas, NV 89128
Phone (702) 233-0755

Interoperability endpoints

  • Direct secure messaging: clinical@luisldiaz.directbygreenway.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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1457356461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-233-0755",
            "fax_number": "702-233-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-233-0755",
            "fax_number": "702-233-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 N Town Center Dr",
            "address_2": "Ste 312",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891440520",
            "country_code": "US",
            "telephone_number": "702-233-0755",
            "fax_number": "702-233-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUIS",
        "middle_name": "LEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "NV6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019070",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.