Active NPI
Ismael Diaz Jr., MD
- Family Medicine Physician
- Humble, TX
National Provider Identifier
1831187004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L3952
- Practice address
- 17903 West Lake Houston Parkway
Suite 201
Humble, TX 77346-3882 - Phone
- (281) 812-1846
- Fax
- (281) 812-2778
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L3952 | TX | Primary |
Addresses
Primary practice location
17903 West Lake Houston Parkway
Suite 201
Humble, TX 77346-3882
Mailing address
17903 West Lake Houston Parkway
Suite 201
Humble, TX 77346-3882
Phone (281) 812-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639230048 | Other | TX | GROUP NPI |
Other names 1
- Ismael Diaz Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- University of Texas Medical School at Houston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17903 W Lake Houston Pkwy
Suite 201
Humble, TX 77346-3954
Phone (281) 446-7173
Hospital & facility affiliations
- Signature Health Services
- Enhabit Home Health
- Accentcare Home Health of Houston - North, LLC
- Connect Care Hospice Inc
- Memorial Hermann Northeast Hospital
- HCA Houston Healthcare Kingwood
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diaz Family Medicine Clinic PA | Family Medicine | Current | Accepting new patients |
| Mehta Medical Group PLLC | Family Medicine | Current | Accepting new patients |
Locations
1702 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 446-7371
9816 Memorial Blvd
Ste 107
Humble, TX 77338
Phone (281) 446-4638
5510 Atascocita Rd
Ste 260
Humble, TX 77346
Phone (281) 812-1846
17903 W Lake Houston Pkwy
Ste 201
Humble, TX 77346
Phone (281) 446-7371
Interoperability endpoints
- ismael.diaz@wellspire.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Humble, TX
- NPI 1639230048
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1306544689
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1285393629
-
- Home Health Agency
- Kingwood, TX
- NPI 1063806230
-
- Home Health Agency
- Baytown, TX
- NPI 1548319288
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1831187004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17903 WEST LAKE HOUSTON PARKWAY",
"address_2": "SUITE 201",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463882",
"telephone_number": "281-812-1846",
"fax_number": "281-812-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17903 WEST LAKE HOUSTON PARKWAY",
"address_2": "SUITE 201",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463882",
"telephone_number": "281-812-1846",
"fax_number": "281-812-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ISMAEL",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L3952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1639230048",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISMAEL",
"last_name": "DIAZ",
"suffix": "JR.",
"credential": "M D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.