Roberto J Diaz, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

M7142 Issued in TX

Practice address

5522 Lone Star Pkwy, BLDG 2
Ste 101
San Antonio, TX 78253

Phone

(210) 298-4900

Fax

(210) 298-6631

NPI assigned

Jun 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Texas Medical School at San Antonio, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larina V Gutenberg DO PLLCGroup PAC ID 5092976605, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

18.9 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

63.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Larina V Gutenberg DO PLLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1710253646
  Medicare reassignment Care Compare group NPD
• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1003835133
  Medicare reassignment
• Stephen Dinger DO PLLC

  • Pain Clinic/Center
  • San Antonio, TX
  • NPI 1356774319
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1649591595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY, BLDG 2",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-298-4900",
            "fax_number": "210-298-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY, BLDG 2",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-298-4900",
            "fax_number": "210-298-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Schertz Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541457",
            "country_code": "US",
            "telephone_number": "210-495-7246",
            "fax_number": "210-495-7245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32685 Highway 281 N",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "78163",
            "country_code": "US",
            "telephone_number": "210-495-7245",
            "fax_number": "210-495-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Bandera Rd",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062802",
            "country_code": "US",
            "telephone_number": "210-495-7246",
            "fax_number": "210-495-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROBERTO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M7142",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M7142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319181902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Diaz
• Renee Erica Diaz, LPC ASSOCIATE
• Ricardo Diaz, DDS, MS
• Richard P Diaz, FNP, APRN-BC; PMHNP
• Robbie Diaz
• Roy D Diaz, PTA
• Sandra Ann Diaz
• Sandra V Diaz
• Sylvia Diaz
• Valeria Diaz

• Pain Medicine (Anesthesiology) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.