Individual provider Active NPI

Victoria M Diokno, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Mount Pleasant, SC
National Provider Identifier
1619920246
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
31305 Issued in SC
Practice address
100 Fair Sailing Rd
Mount Pleasant, SC 29466-8158
Phone
(843) 276-2630
NPI assigned
May 17, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X C10006636 DE
Allergy & Immunology Physician 207K00000X 35-088393 OH
Internal Medicine Physician 207R00000X 31305 SC
Internal Medicine Physician 207R00000X DEA#BD7946429 DE
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 31305 SC Primary

Addresses

Primary practice location

100 Fair Sailing Rd
Mount Pleasant, SC 29466-8158

Mailing address

100 Fair Sailing Rd
Mount Pleasant, SC 29466-8158
Phone (843) 972-7873

Other practice location 1

1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 606-3333

Other identifiers 1

IdentifierTypeStateIssuer
100016773MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-088393OHMDAllergy & Immunology Physician
31305SCMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaza Medical Group Past Accepting new patients
Peninsula Allergy & Asthma Associates P a Allergy & Immunology PastSince Apr 26, 2004 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1619920246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAIR SAILING RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668158",
            "telephone_number": "843-972-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIR SAILING RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668158",
            "telephone_number": "843-276-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643288",
            "country_code": "US",
            "telephone_number": "843-606-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIOKNO",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DE",
            "license": "C10006636",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-088393",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31305",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "DEA#BD7946429",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "SC",
            "license": "31305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016773",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.