Individual provider Active NPI

Michael J Diamond, M D

  • Family Medicine Physician
  • Carrizo Springs, TX
National Provider Identifier
1679735625
Registry record updated Nov 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4565 Issued in TX
Practice address
704 Hospital Dr
Carrizo Springs, TX 78834-3836
Phone
(830) 876-2424
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4565 TX Primary
Family Medicine Physician 207Q00000X E-6832 AR

Addresses

Primary practice location

704 Hospital Dr
Carrizo Springs, TX 78834-3836

Mailing address

5004 Avenue F
Austin, TX 78751-2521
Phone (214) 536-6416

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130403000619 TX Practitioner - Family Practice 9133303159 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Hospital & facility affiliations

  • Frio Regional Hospital Hospital, Pearsall, TX, CCN 451391
  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6832ARMDFamily Medicine Physician
P4565TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Associates LLC CurrentSince Mar 1, 2013 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 14, 2013 Accepting new patients
Texas Emergency Group LLC CurrentSince Nov 21, 2021 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Feb 6, 2013 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 14, 2013 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • Direct secure messaging: smmmjdiam@yourcarecommunity.org

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1679735625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 AVENUE F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512521",
            "telephone_number": "214-536-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HOSPITAL DR",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343836",
            "telephone_number": "830-876-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4565",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

Verify at the official NPI Registry.