Individual provider Active NPI

Alexander Nicholas Diaz, MD

  • Emergency Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1841751849
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME167124 Issued in FL
Practice address
500 Dr Martin Luther King Jr St N Ste 304
St Petersburg, FL 33705-1470
Phone
(727) 210-5253
Fax
(727) 290-4323
NPI assigned
Mar 31, 2019
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X T3460 TX
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME167124 FL Primary

Addresses

Primary practice location

500 Dr Martin Luther King Jr St N Ste 304
St Petersburg, FL 33705-1470

Mailing address

3218 21St St N
St Petersburg, FL 33713-3055
Phone (954) 218-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220614000956 TX Practitioner - Emergency Medicine 1759760291 Reassigns benefits to 4 organizations
I20250123000653 FL Practitioner - Emergency Medicine 1759760291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Univ of Central Florida, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Emergency Physicians PAGroup PAC ID 6103988332, 19 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 825-1100

902 10TH St E
(HCA FL Palmetto)
Palmetto, FL 34221-4122
Phone (727) 479-8473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME167124FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Nov 18, 2024 Accepting new patients
Victoria Emergency Partners LLC Single Specialty CurrentSince Jun 21, 2022 Accepting new patients
Bayside Emergency Physicians PA Single Specialty CurrentSince Aug 4, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Brevard Physician Associates, PLLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Single Specialty CurrentSince Dec 6, 2024 Accepting new patients
Paragon Emergency Services LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Travis County Emergency Physicians PA Single Specialty CurrentSince Jul 25, 2023 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

902 10th St E
Palmetto, FL 34221
Phone (727) 479-8473

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1841751849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 21ST ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337133055",
            "telephone_number": "954-218-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DR MARTIN LUTHER KING JR ST N STE 304",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051470",
            "telephone_number": "727-210-5253",
            "fax_number": "727-290-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALEXANDER",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T3460",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME167124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.