Active NPI
Diane S. Garza, MD
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1487621322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J2022
- Practice address
- 5701 W Slaughter LN BLDG C
Austin, TX 78749-6528 - Phone
- (512) 334-2504
- Fax
- (512) 334-2594
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J2022 | TX | Primary |
Addresses
Primary practice location
5701 W Slaughter LN BLDG C
Austin, TX 78749-6528
Mailing address
12221 N Mo Pac Expy
Austin, TX 78758-2415
Phone (512) 334-2504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119209802 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DIANE.GARZA@hca8.eclinicaldirectplus.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090724000694 | TX | Practitioner - Pediatric Medicine | 0749333698 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Past | Accepting new patients |
Locations
5701 W Slaughter Ln
Bldg C
Austin, TX 78749
Phone (512) 334-2504
4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
Interoperability endpoints
- diane.garza@hca8.eclinicaldirectplus.com
- 11225-garza-diane@direct.leadingreach.com
Organizations & group practices 5
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.
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1487621322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582415",
"telephone_number": "512-334-2504",
"fax_number": "512-334-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W SLAUGHTER LN BLDG C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787496528",
"telephone_number": "512-334-2504",
"fax_number": "512-334-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "DIANE",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J2022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119209802",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DIANE.GARZA@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "5701 W Slaughter Ln Bldg C",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787496528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.