Kelly Diaz

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

321127 Issued in NY

Practice address

341 Central Park Ave
Scarsdale, NY 10583-1301

Phone

(914) 370-5000

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mount Sinai School of Medicine of New York UniversityGroup PAC ID 6709919863, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Mount Sinai School of Medicine of New York University

  • Internal Medicine Physician
  • Scarsdale, NY
  • NPI 1023334927

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Mount Sinai School of Medicine of New York University

  • Orthopaedic Surgery Physician
  • Yonkers, NY
  • NPI 1336878651
  NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1740712017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831301",
            "telephone_number": "914-370-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831301",
            "telephone_number": "914-370-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Pondfield Rd",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083809",
            "country_code": "US",
            "telephone_number": "914-337-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "NY",
            "postal_code": "108031504",
            "country_code": "US",
            "telephone_number": "914-813-3133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 N Broadway # Ll110",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011112",
            "country_code": "US",
            "telephone_number": "914-968-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "321127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Consulting of Westchester, PLLC
• Elizabeth F Derobertis, MS,RD,CDN,CDE
• Desantis Global Enterprises, Inc.
• Diamond Dental, P.C.
• Silvana Dias
• Joseph P Dibbini, PHARM. D.
• Thomas M Dicarlo, DC
• Carmela Diflorio, PSYD
• James Costabile Dilorenzo, M.D.
• Robert Dilorenzo

• Gastroenterology Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.