Organization Active NPI

Trucare Pediatrics LLC

  • Pediatrics Physician
  • Palm Bay, FL
National Provider Identifier
1922761097
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRUCARE PEDIATRICS LLC
Practice address
5200 Babcock St NE Ste 302
Palm Bay, FL 32905-4648
Phone
(321) 285-7212
Fax
(321) 250-2038
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Dr. Erika Diogene, DONPI 1306283924
Title
Physician
Phone
(321) 285-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5200 Babcock St NE Ste 302
Palm Bay, FL 32905-4648

Mailing address

5200 Babcock St NE Ste 302
Palm Bay, FL 32905-4648
Phone (321) 285-7212

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdiogene@trucarepediatrics.opdirect.net Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2252856Trucare Pediatrics LLC5200 Babcock St NE Suite 302, Palm Bay, FL 32905Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

5200 Babcock St NE
Ste 302
Palm Bay, FL 32905
Phone (321) 285-7212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1922761097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 302",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054648",
            "telephone_number": "321-285-7212",
            "fax_number": "321-250-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 302",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054648",
            "telephone_number": "321-285-7212",
            "fax_number": "321-250-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "DIOGENE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-285-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdiogene@trucarepediatrics.opdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5200 Babcock St NE Ste 302",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329054648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.