NPIMap

Individual provider Active NPI

Sam Diasti, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1730175944
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71925 Issued in FL
Practice address
2605 W Swann Ave
Ste. 100
Tampa, FL 33609-4039
Phone
(713) 874-5500
Fax
(813) 874-5505
NPI assigned
Sep 22, 2005
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71925 FL Primary

Addresses

Primary practice location

2605 W Swann Ave
Ste. 100
Tampa, FL 33609-4039

Mailing address

2605 W Swann Ave
Ste. 100
Tampa, FL 33609-4039
Phone (813) 874-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TAMPA Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041214000811 FL Practitioner - Internal Medicine 4486611324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Group PAGroup PAC ID 6507823440, 8 clinicians

Practice addresses (Care Compare)

2605 W Swann Ave
Suite 100
Tampa, FL 33609-4039
Phone (813) 874-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71925FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Group PA Internal Medicine CurrentSince Oct 11, 2004 Accepting new patients
Pinnacle Health Group PA Internal Medicine Past Accepting new patients
Pinnacle Health Group P.a. Internal Medicine Past Accepting new patients

Locations

2605 W Swann Ave
Ste 100
Tampa, FL 33609
Phone (813) 708-8346

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16839/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sam.diasti.1@16839.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730175944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "713-874-5500",
            "fax_number": "813-874-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIASTI",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2605 W Swann Ave",
            "address_2": "Ste. 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336094039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.