Individual provider Active NPI

John Robyn V Diez, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Oakland, MD
National Provider Identifier
1942881909
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
D0102636 Issued in MD
Practice address
69 Wolf Acres Dr
Oakland, MD 21550-2046
Phone
(301) 533-2190
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X D0102636 MD Primary

Addresses

Primary practice location

69 Wolf Acres Dr
Oakland, MD 21550-2046

Mailing address

69 Wolf Acres Dr
Oakland, MD 21550-2046
Phone (301) 533-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250404000628 MD Practitioner - Addiction Medicine 4284158882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians

Practice addresses (Care Compare)

69 Wolf Acres Dr
Oakland, MD 21550-2046
Phone (301) 533-2190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2025 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2025 Accepting new patients
Osu Observation Medicine, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

69 Wolf Acres Dr
Oakland, MD 21550
Phone (301) 334-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1942881909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502046",
            "telephone_number": "301-533-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502046",
            "telephone_number": "301-533-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "JOHN ROBYN",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0102636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.