NPIMap

Individual provider Active NPI

John Manllo Dieck, M.D.

  • Internal Medicine Physician
  • McAllen, TX
National Provider Identifier
1578855680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301 098 223 Issued in MI
Practice address
1901 S 1St St Ste 600
McAllen, TX 78503-1228
Phone
(956) 631-6136
Fax
(956) 631-1848
NPI assigned
May 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301 098 223 MI Primary

Addresses

Primary practice location

1901 S 1St St Ste 600
McAllen, TX 78503-1228

Mailing address

1901 S 1St St Ste 600
McAllen, TX 78503-1228
Phone (956) 631-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003164 TX Practitioner - NephrologyPractitioner - Internal Medicine 0042442766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Texas Nephrology PLLCGroup PAC ID 8820403512, 6 clinicians
South Texas Kidney Specialists, P.a.Group PAC ID 9234118837, 15 clinicians

Practice addresses (Care Compare)

1080 E Los Ebanos Blvd
Suite a
Brownsville, TX 78520-9988
Phone (956) 542-3472

1901 S 1St St
Suite 600
McAllen, TX 78503-1228
Phone (956) 631-6136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as group
Quality
80.02
Promoting interoperability
96
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301 098 223MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Kidney Specialists, P.a. CurrentSince Jul 12, 2017 Accepting new patients
Southern Texas Nephrology PLLC CurrentSince Jan 1, 2021 Accepting new patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients

Locations

1080 E Los Ebanos Blvd
#A
Brownsville, TX 78520
Phone (956) 212-7984

1901 S 1st St
Ste 600
McAllen, TX 78503
Phone (956) 631-6136

2768 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Interoperability endpoints

  • Direct secure messaging: john.dieck.1@23149.direct.athenahealth.com
  • Direct secure messaging: johnmanllodieck@stks.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/23149/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578855680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLLO DIECK",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301 098 223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.