Individual provider Active NPI

Diana Carrau, MD

  • Plastic and Reconstructive Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1639551005
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME150571 Issued in FL
Practice address
550 SE 6TH Ave Ste 100
Delray Beach, FL 33483-5306
Phone
(561) 440-8020
Fax
(561) 440-8222
NPI assigned
Jun 22, 2015
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME150571 FL Primary

Addresses

Primary practice location

550 SE 6TH Ave Ste 100
Delray Beach, FL 33483-5306

Mailing address

550 SE 6TH Ave Ste 100
Delray Beach, FL 33483-5306
Phone (561) 440-8020

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
I20210811000972 FL Practitioner - Plastic and Reconstructive Surgery 8224348438 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150571FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Dermatology LLC Plastic Surgery CurrentSince Mar 1, 2023 Accepting new patients

Locations

550 SE 6th Ave
#100
Delray Beach, FL 33483
Phone (561) 440-8020

Organizations & group practices 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1639551005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "561-440-8020",
            "fax_number": "561-440-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "561-440-8020",
            "fax_number": "561-440-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAU",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME150571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.