Individual provider Active NPI

Roberto Fabricio Diaz, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
National Provider Identifier
1851300891
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
J7943 Issued in TX
Practice address
7121 S Padre Island Dr Ste 104
Corpus Christi, TX 78412-4939
Phone
(361) 271-5221
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X J7943 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr Ste 104
Corpus Christi, TX 78412-4939

Mailing address

7121 S Padre Island Dr Ste 104
Corpus Christi, TX 78412-4939
Phone (361) 271-5221

Other identifiers 2

IdentifierTypeStateIssuer
170710103MedicaidTX
873515088OtherTXTAX IDENTIFICATION NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000218 TX Practitioner - Internal MedicinePractitioner - Sleep Medicine 4082602685

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto F. Diaz, M.D., P.a. Sleep Medicine CurrentSince Mar 22, 2022 Accepting new patients
Advanced Elite DME PastSince Jan 1, 2017 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

7121 Spid Dr
Ste 104
Corpus Christi, TX 78412
Phone (361) 271-5221

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1851300891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124939",
            "telephone_number": "361-271-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124939",
            "telephone_number": "361-271-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROBERTO",
        "middle_name": "FABRICIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J7943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170710103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "873515088",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.