Mario Humberto Diaz, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0022049 Issued in MD

Practice address

2001 Medical Pkwy
Acp 4TH Floor/Surgical Hospitalist Ste.
Annapolis, MD 21401-3280

Phone

(443) 481-1372

Fax

(443) 481-1360

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anne Arundel Medical Center Inc

  dba Anne Arundel Medical Center Surgical Hospitalists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1679541460
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Horizon Surgical Group, PA

  dba Horizon Vascular Specialists ASC

  • Ambulatory Surgical Clinic/Center
  • Germantown, MD
  • NPI 1255032421
  NPD (past)
• Horizon Surgical Group, PA

  dba Horizon Vascular Specialists

  • Vascular Surgery Physician
  • Germantown, MD
  • NPI 1366449365
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1508803693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64834",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644834",
            "telephone_number": "443-481-6573",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "address_2": "ACP 4TH FLOOR/SURGICAL HOSPITALIST STE.",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013280",
            "telephone_number": "443-481-1372",
            "fax_number": "443-481-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIO",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0022049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4071161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "6718667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "89468104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K585007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL DEPT OF LABOR (WORKMAN'S COMP)",
            "identifier": "145726104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "112414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialog Healthcare LLC
• Beth G Diamond, M.D.
• Haley Kathleen Diamond, APRN
• Rebecca Diana
• Diane Saccoccio LLC
• James V Dicanio, PA-C
• Sherry Jean Dice
• Devin Dickerson
• Marcus Dickerson
• Brittany Elizabeth Dickert, FNP

• Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.