Active NPI
Michael J Diaz, M.D.
- Diagnostic Radiology Physician
- Gulfport, MS
National Provider Identifier
1780685578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13433
- Practice address
- 14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660 - Phone
- (228) 864-4392
- Fax
- (228) 868-7103
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13433 | MS | Primary |
Addresses
Primary practice location
14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660
Mailing address
PO Box 1330
Gulfport, MS 39502-1330
Phone (228) 864-4392
Other practice location 1
4320 15th St
Suite a
Gulfport, MS 39501-2524
Phone (228) 864-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00155062 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000
Hospital & facility affiliations
- St Dominic-Jackson Memorial Hospital
- Merit Health River Region
- Merit Health River Oaks
- Southwest Ms Regional Medical Center
- Neshoba County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.58 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 75.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Radiologists P a | Diagnostic Radiology | Current | Accepting new patients |
| SMB Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Flowood Mississippi Imaging LLC | Current | Accepting new patients |
Locations
14231 Seaway Rd
Ste 5003
Gulfport, MS 39503
Phone (228) 864-4392
4320 15th St
#A
Gulfport, MS 39501
Phone (228) 864-4392
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
Interoperability endpoints
- mdiaz@direct.mhg.com
- mdiaz5268851@direct.casso.us.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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Jackson, MS
- NPI 1861428351
-
- Diagnostic Radiology Physician
- Pascagoula, MS
- NPI 1609877356
-
- Radiology Clinic/Center
- Flowood, MS
- NPI 1861954083
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Philadelphia, MS
- NPI 1083659734
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
-
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1780685578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395021330",
"telephone_number": "228-864-4392",
"fax_number": "228-868-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14231 SEAWAY RD STE 5003",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034660",
"telephone_number": "228-864-4392",
"fax_number": "228-868-7103"
}
],
"practiceLocations": [
{
"address_1": "4320 15th St",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012524",
"country_code": "US",
"telephone_number": "228-864-4392",
"fax_number": "228-868-7103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "13433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00155062",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.