Individual provider Active NPI

Diego Antonio Rielo, MD

  • Neurology Physician
  • Hialeah, FL
National Provider Identifier
1720058233
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME81040 Issued in FL
Practice address
17395 NW 59TH Ave
Hialeah, FL 33015-5111
Phone
(305) 560-5302
Fax
(305) 826-2600
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME81040 FL Primary

Addresses

Primary practice location

17395 NW 59TH Ave
Hialeah, FL 33015-5111

Mailing address

2003 SW 143Rd PL
Miami, FL 33175-8068
Phone (305) 560-5302

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
I20040303000128 FL Practitioner - Neurology 2466349535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17395 NW 59TH Ave
Hialeah, FL 33015-5111
Phone (305) 560-5302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81040FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marie'S Group Home Services, Inc Past Accepting new patients
Neurology Associates Group Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1720058233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SW 143RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758068",
            "telephone_number": "305-560-5302",
            "fax_number": "305-826-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 NW 59TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155111",
            "telephone_number": "305-560-5302",
            "fax_number": "305-826-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELO",
        "first_name": "DIEGO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME81040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.