Individual provider Active NPI

Ariam Scarlet Diaz- Mathusek, MD

  • Pediatrics Physician
  • Burlington, NC
National Provider Identifier
1750716890
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
270653 Issued in NY
Practice address
2501 S Mebane St
Burlington, NC 27215-6235
Phone
(336) 228-7337
Fax
(336) 222-0293
NPI assigned
Sep 9, 2013
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA934100 NJ
Pediatrics Physician 208000000X 2021-01492 NC
Pediatrics Physician 208000000X 270653 NY Primary

Addresses

Primary practice location

2501 S Mebane St
Burlington, NC 27215-6235

Mailing address

2501 S Mebane St
Burlington, NC 27215-6235
Phone (336) 228-7337

Other practice location 1

1276 Fulton Ave
Bronx, NY 10456-3499
Phone (718) 901-8988

Other practice location 2

645 Allerton Avenue
Bronx, NY 10467
Phone (718) 547-7771

Other names 1

  • Ariam Scarlet Diaz-Valdez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241015004591 NC Practitioner - Pediatric Medicine 3274877436 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01492NCMDPediatrics Physician
25MA934100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Jul 1, 2024 Accepting new patients
Brightside Care, PLLC Pediatrics CurrentSince Mar 20, 2025 Accepting new patients
Kidzcare Pediatrics, PC Pediatrics PastSince Oct 5, 2021 Accepting new patients
Kidzcare Pediatrics, PC Pediatrics PastSince Oct 5, 2021 Accepting new patients
Ola Pediatrics PC Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

307 N Third St
Mebane, NC 27302
Phone (336) 962-5308

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

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.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1750716890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S MEBANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156235",
            "telephone_number": "336-228-7337",
            "fax_number": "336-222-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S MEBANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156235",
            "telephone_number": "336-228-7337",
            "fax_number": "336-222-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563499",
            "country_code": "US",
            "telephone_number": "718-901-8988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Allerton Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "718-547-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ- MATHUSEK",
        "first_name": "ARIAM",
        "middle_name": "SCARLET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2021-09-28",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA934100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2021-01492",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "270653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIAM",
            "last_name": "DIAZ-VALDEZ",
            "middle_name": "SCARLET",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.