Active NPI
Elia Enid Acevedo Diaz, M.D
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1750720553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0083641
- Practice address
- 9318 Gaither Rd Ste 220
Gaithersburg, MD 20877-1409 - Phone
- (301) 251-4702
- Fax
- (301) 251-4703
- NPI assigned
- Jun 14, 2013
- Last updated
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0083641 | MD | Primary |
Addresses
Primary practice location
9318 Gaither Rd Ste 220
Gaithersburg, MD 20877-1409
Mailing address
9318 Gaither Rd Ste 220
Gaithersburg, MD 20877-1409
Phone (301) 251-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0083641 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1750720553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9318 GAITHER RD STE 220",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771409",
"telephone_number": "301-251-4702",
"fax_number": "301-251-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9318 GAITHER RD STE 220",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771409",
"telephone_number": "301-251-4702",
"fax_number": "301-251-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO DIAZ",
"first_name": "ELIA",
"middle_name": "ENID",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0083641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.