Individual provider Active NPI

Michael Weldon Diana, MD, MBA

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1780001883
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A153684 Issued in CA
Practice address
The Johns Hopkins Hospital Department of
1800 Orleans Street
Baltimore, MD 21287
Phone
(410) 955-5107
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A153684 CA Primary

Addresses

Primary practice location

The Johns Hopkins Hospital Department of
1800 Orleans Street
Baltimore, MD 21287

Mailing address

1800 Orleans St
Baltimore, MD 21287-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200831000482 TN Practitioner - Emergency Medicine 3173747953 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153684CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince May 9, 2022 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince May 9, 2022 Accepting new patients
Concertocare Medical Group of Tennessee, PC CurrentSince Oct 28, 2024 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of TN, LLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

3200 West End Ave
Ste 500
Nashville, TN 37203
Phone (615) 385-4090

Interoperability endpoints

  • Direct secure messaging: ms_mdiana6@landmarkhealth-direct.org
  • Direct secure messaging: mdiana@landmarkhealth-direct.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1780001883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE JOHNS HOPKINS HOSPITAL DEPARTMENT OF",
            "address_2": "1800 ORLEANS STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-955-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANA",
        "first_name": "MICHAEL",
        "middle_name": "WELDON",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A153684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.