Individual provider Active NPI

Karen Diaz, PA-C

  • Physician Assistant
  • Pasadena, MD
National Provider Identifier
1639602147
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006431 Issued in MD
Practice address
33 Magothy Beach Rd
#102
Pasadena, MD 21122-4413
Phone
(410) 983-3070
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006431 MD Primary
Medical Physician Assistant 363AM0700X C0006431 MD

Addresses

Primary practice location

33 Magothy Beach Rd
#102
Pasadena, MD 21122-4413

Mailing address

33 Magothy Beach Rd
#102
Pasadena, MD 21122-4413
Phone (410) 983-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170608000213 MD Practitioner - Physician Assistant 0042588493 Reassigns benefits to 3 organizations
I20181108002486 DC Practitioner - Physician Assistant 0042588493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0006431MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: kdiaz553236@direct.hopkinsmedicine.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1639602147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD",
            "address_2": "#102",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-983-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD",
            "address_2": "#102",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-983-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006431",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.