Diana Casanova, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8798 Issued in TX

Practice address

601 E 2ND St
Suite F
Odessa, TX 79761-5423

Phone

(432) 332-1273

Fax

(432) 367-8687

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Scotty Ortega MD LLP

  dba West Texas Medical Care

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1194015297
  Medicare reassignment NPD
• Archuleta Family LTD.

  • Specialist
  • Odessa, TX
  • NPI 1710109350
  NPD (past)
• Suresh N Gadasalli M D P a

  dba The Healthy Heart Center

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1427050780
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831267590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13030",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79768",
            "telephone_number": "432-332-1273",
            "fax_number": "432-367-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 2ND ST",
            "address_2": "SUITE F",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615423",
            "telephone_number": "432-332-1273",
            "fax_number": "432-367-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148739901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elmer Wilfredo Carrillo Baro, MD
• Amy Diane Carrillo
• Anna Marie Carrillo, LPC-S, RPT-S
• Bonnie C Carter, MD
• Tiffany Renee Carter, PA-C
• Helen Cass, RPH
• Jessica Ann Castaneda
• Alan Castillejos
• Brandy Devonne Castillo, PTA
• Jason Alexander Castillo, MD

• Family Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.