Individual provider Active NPI

Angel Alberto Diaz, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1871751172
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263664 Issued in NY
Practice address
805B Soundview Ave
Bronx, NY 10473-3900
Phone
(718) 483-9918
Fax
(718) 483-9919
NPI assigned
May 23, 2008
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 263664 NY Primary

Addresses

Primary practice location

805B Soundview Ave
Bronx, NY 10473-3900

Mailing address

805B Soundview Ave
Bronx, NY 10473-3900
Phone (718) 483-9918

Other identifiers 1

IdentifierTypeStateIssuer
03439452MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140121001213 NY Practitioner - Internal Medicine 3173785979 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clason Point Medical PC CurrentSince Jun 1, 2014 Accepting new patients

Locations

805B Soundview Ave
Bronx, NY 10473
Phone (718) 328-0000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFBHCA/Endpoint/DFBHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFBHCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1871751172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805B SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733900",
            "telephone_number": "718-483-9918",
            "fax_number": "718-483-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805B SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733900",
            "telephone_number": "718-483-9918",
            "fax_number": "718-483-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGEL",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03439452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.