NPIMap

Individual provider Active NPI

Patty Vanessa Diaz-Hall, DO

  • Family Medicine Physician
  • Mentor, OH
National Provider Identifier
1841931177
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.018014 Issued in OH
Practice address
9485 Mentor Ave Ste 210a
Mentor, OH 44060-4597
Phone
(216) 541-1918
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.018014 OH Primary

Addresses

Primary practice location

9485 Mentor Ave Ste 210a
Mentor, OH 44060-4597

Mailing address

9485 Mentor Ave Ste 210a
Mentor, OH 44060-4597
Phone (216) 541-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725004073 OH Practitioner - Family Practice 9335656289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

9485 Mentor Ave
Suite 210
Mentor, OH 44060-8723
Phone (440) 205-5835

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.018014OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc Family Medicine CurrentSince Jul 9, 2025 Accepting new patients
Lake Hospital System Inc Family Medicine CurrentSince Jul 9, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Lake Hospital System, Inc Family Medicine PastSince Oct 21, 2025 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755

Interoperability endpoints

  • Direct secure messaging: pdiazhall662853@ehrdirect.uhhospitals.org
  • Direct secure messaging: pdiazhall222124@direct.metrohealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1841931177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 210A",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604597",
            "telephone_number": "216-541-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 210A",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604597",
            "telephone_number": "216-541-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-HALL",
        "first_name": "PATTY",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.018014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.