Active NPI
Jorge Orlando Diaz, MD
- Clinical Cardiac Electrophysiology Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- ME85198
- Practice address
- 1331 S International Pkwy Ste 1261
Lake Mary, FL 32746-1405 - Phone
- (407) 444-4848
- Fax
- (407) 444-4870
- NPI assigned
- Aug 7, 2006
- Last updated
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ME85198 | FL | Primary |
Addresses
Primary practice location
1331 S International Pkwy Ste 1261
Lake Mary, FL 32746-1405
Mailing address
5224 West S R 46 #376
Sanford, FL 32771-9230
Phone (407) 444-4848
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00387983 | Other | FL | RAILROAD MEDICARE |
| 276817800 | Medicaid | FL | |
| 203337822 | Other | FL | TAX ID |
| 56503 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
1331 S International Pkwy
Suite 1261
Lake Mary, FL 32746-1405
Phone (407) 444-4848
483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 645-1847
Hospital & facility affiliations
- Adventhealth Waterman
- Central Florida Lake Monroe Hospital
- Adventhealth Orlando
- Adventhealth Fish Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.07 of 100
- Quality
- 80.13
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge O Diaz MD PA | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Central Florida Cardiology Interpretations LLC | Current | Accepting new patients | |
| Florida Cardiology PA | Current | Accepting new patients | |
| Jorge O. Diaz, MD PA | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
| Jorge O Diaz MD PA | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
Locations
255 Citrus Tower Blvd
Ste 101
Clermont, FL 34711
Phone (352) 242-0676
1331 S International Pkwy
Ste 1261
Lake Mary, FL 32746
Phone (407) 444-4848
1355 S International Pkwy
Ste 1451
Lake Mary, FL 32746
Phone (407) 333-9888
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
7806 Lake Underhill Rd
Ste 105
Orlando, FL 32822
Phone (407) 281-9229
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
5224 W State Road 46
Sanford, FL 32771
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
483 N Semoran Blvd
Ste 102
Winter Park, FL 32792
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGBFAD
- https://fhir4.healow.com/fhir/r4/BGBFAD/Endpoint/BGBFAD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Winter Park, FL
- NPI 1871543157
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Clinical Cardiac Electrophysiology Physician
- Lake Mary, FL
- NPI 1396754172
-
- Clinical Cardiac Electrophysiology Physician
- Leesburg, FL
- NPI 1740953926
-
- Clinical Cardiac Electrophysiology Physician
- Tavares, FL
- NPI 1083287866
-
- Cardiology Technician
- Sanford, FL
- NPI 1780807412
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Lake Monroe Hospital
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1487663373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 WEST S R 46 #376",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719230",
"telephone_number": "407-444-4848",
"fax_number": "407-444-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 S INTERNATIONAL PKWY STE 1261",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461405",
"telephone_number": "407-444-4848",
"fax_number": "407-444-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JORGE",
"middle_name": "ORLANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "FL",
"license": "ME85198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00387983",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276817800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "203337822",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56503",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.