Individual provider Active NPI

Carlos A Diaz, MD

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1730121682
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME80337 Issued in FL
Practice address
2030 Bee Ridge Rd
Suite B
Sarasota, FL 34239-6108
Phone
(941) 845-0233
Fax
(941) 538-6063
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME80337 FL Primary

Addresses

Primary practice location

2030 Bee Ridge Rd
Suite B
Sarasota, FL 34239-6108

Mailing address

2030 Bee Ridge Rd
Suite B
Sarasota, FL 34239-6108
Phone (941) 845-0233

Other identifiers 2

IdentifierTypeStateIssuer
107077799OtherCAQH
260634800MedicaidFL

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
I20150825003717 FL Practitioner - Physical Medicine and Rehabilitation 3779633847 Reassigns benefits to 1 organization
Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Spine, Sport and Physical Medicine Center LLCGroup PAC ID 7214215938, 2 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

1940 Tamiami TRL
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

2030 Bee Ridge Rd
Suite B
Sarasota, FL 34239-6108
Phone (941) 845-0233

8429 Tuttle Ave
Sarasota, FL 34243-2868
Phone (941) 413-1550

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as individual
Quality
72.09
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance and Longevity Center, Corp. Current Accepting new patients
Spine, Sport & Physical Medicine Center, LLC CurrentSince Aug 24, 2015 Accepting new patients
Sarasota Center for Physical Medicine LLC PastSince Jan 27, 2019 Accepting new patients

Locations

6060 State Road 70 E
Unit D
Bradenton, FL 34203
Phone (941) 845-0233

2030 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 587-8684

2030 Bee Ridge Rd
Ste B
Sarasota, FL 34239
Phone (941) 845-0233

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.

Hospital & facility affiliations 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1730121682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-845-0233",
            "fax_number": "941-538-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-845-0233",
            "fax_number": "941-538-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME80337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "107077799",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260634800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.