Individual provider Active NPI

Jorge Orlando Diaz, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
National Provider Identifier
1487663373
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME85198 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00387983OtherFLRAILROAD MEDICARE
276817800MedicaidFL
203337822OtherFLTAX ID
56503OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000323 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052311867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Florida Cardiology PAGroup PAC ID 3678475993, 22 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as individual
Quality
80.13
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge O Diaz MD PA Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2006 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Feb 22, 2024 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince May 21, 2011 Accepting new patients
Florida Cardiology PA CurrentSince Sep 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGBFAD
  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.