Individual provider Active NPI

Raul Diaz, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1902010945
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME127274 Issued in FL
Practice address
12645 New Brittany Blvd BLDG 15
Fort Myers, FL 33907-3631
Phone
(239) 291-3600
Fax
(239) 291-3601
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 ME127274 FL Primary

Addresses

Primary practice location

12645 New Brittany Blvd BLDG 15
Fort Myers, FL 33907-3631

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160628002496 FL Practitioner - Internal Medicine 3072688530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

450 S Main St
Labelle, FL 33935-4629

Hospital & facility affiliations

  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
65.57
Promoting interoperability
99
Improvement activities
40
Cost
78.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority CurrentSince Aug 5, 2024 Accepting new patients
Hendry County Hospital Authority CurrentSince Aug 5, 2024 Accepting new patients
Simed Health LLC CurrentSince Apr 1, 2018 Accepting new patients
Hendry County Hospital Authority Current Accepting new patients
Simedhealth LLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Hendry County Hospital Authority Past Accepting new patients

Locations

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

3305 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 373-4321

3304 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 401-7575

3304 SW 34th Cir
Ste 103
Ocala, FL 34474
Phone (352) 291-0245

Interoperability endpoints

  • Direct secure messaging: raul.diaz@simedhealth.directbygreenway.com

Organizations & group practices 6

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 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902010945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 NEW BRITTANY BLVD BLDG 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-291-3600",
            "fax_number": "239-291-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.