NPIMap

Individual provider Active NPI

Diane Joy Gonzales Zaragoza, MD

  • Family Medicine Physician
  • Veedersburg, IN
National Provider Identifier
1720217466
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01071232A Issued in IN
Practice address
440 W Songer LN
Veedersburg, IN 47987-8547
Phone
(765) 762-4180
NPI assigned
Jul 2, 2009
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01071232A IN Primary

Addresses

Primary practice location

440 W Songer LN
Veedersburg, IN 47987-8547

Mailing address

440 W Songer LN
Veedersburg, IN 47987-8547

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diane.zaragoza.1@7598.direct.athenahealth.com St. Vincent Williamsport Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000011 IN Practitioner - Family Practice 8224284393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Williamsport HospitalGroup PAC ID 4486636776, 16 clinicians

Practice addresses (Care Compare)

1731 Ringer LN
Williamsport, IN 47993-8900
Phone (765) 762-4178

412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 762-9000

440 W Songer LN
Veedersburg, IN 47987-8547
Phone (765) 762-4178

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071232AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Williamsport Hospital Current Accepting new patients
St. Vincent Williamsport Hospital CurrentSince Aug 1, 2012 Accepting new patients
St. Vincent Williamsport Hospital Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Integrated Behavioral Health, Inc. Past Accepting new patients

Locations

440 W Songer Ln
Veedersburg, IN 47987
Phone (765) 294-2486

1731 Ringer Ln
Williamsport, IN 47993
Phone (765) 762-4170

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1720217466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W SONGER LN",
            "city": "VEEDERSBURG",
            "state": "IN",
            "postal_code": "479878547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W SONGER LN",
            "city": "VEEDERSBURG",
            "state": "IN",
            "postal_code": "479878547",
            "telephone_number": "765-762-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "DIANE JOY",
        "middle_name": "GONZALES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01071232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.zaragoza.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Williamsport Hospital",
            "address_1": "440 W Songer Ln",
            "city": "Veedersburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479878547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Veedersburg, IN

Sources for this page

Verify at the official NPI Registry.