Individual provider Active NPI

Chanelle Monique Diaz, MD, MPH

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1467809434
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
298056 Issued in NY
Practice address
534 W 135TH St
New York, NY 10031-8644
Phone
(212) 491-2300
Fax
(212) 491-2323
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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
Internal Medicine Physician 207R00000X 298056 NY Primary

Addresses

Primary practice location

534 W 135TH St
New York, NY 10031-8644

Mailing address

534 W 135TH St
New York, NY 10031-8644
Phone (212) 491-2300

Other practice location 1

305 E 161st St
Bronx, NY 10451-3535
Phone (718) 579-2500

Other practice location 2

140 East 210th Street
Montefiore Medical Center Staff House Office
Bronx, NY 10467
Phone (718) 920-2281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190731003282 NY Practitioner - Internal Medicine 3971839739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298056NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Jun 21, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 8, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 21, 2019 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

305 E 161st St
Bronx, NY 10451
Phone (718) 410-4711

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

534 W 135th St
New York, NY 10031
Phone (212) 491-2300

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: pnz9002@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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 5

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1467809434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318644",
            "telephone_number": "212-491-2300",
            "fax_number": "212-491-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318644",
            "telephone_number": "212-491-2300",
            "fax_number": "212-491-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E 161st St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104513535",
            "country_code": "US",
            "telephone_number": "718-579-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 East 210th Street",
            "address_2": "Montefiore Medical Center Staff House Office",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "718-920-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CHANELLE",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "298056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.