Andrew Christopher Diaz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q9150 Issued in TX

Practice address

3301 Stalcup Rd
Fort Worth, TX 76119-1726

Phone

(817) 702-2839

Fax

(817) 702-7231

NPI assigned

May 22, 2014

Last updated

Dec 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincents Blount Hospital, Oneonta, AL, CCN 011305
• St Vincent's Chilton Hospital, Clanton, AL, CCN 010173

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.diaz.1@6815.direct.athenahealth.com

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.

• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Stephens Memorial Hospital District

  dba SMH Urgent Care

  • Urgent Care Clinic/Center
  • Breckenridge, TX
  • NPI 1518361369
  Medicare reassignment NPD
• Texas Emergency Medicine Group, LLP

  • Emergency Medicine Physician
  • Graham, TX
  • NPI 1134774722
  Medicare reassignment NPD
• Stephens Memorial Hospital District

  dba Stephens Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Breckenridge, TX
  • NPI 1205257029
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation
• St Vincents Chilton LLC

  dba St Vincents Chilton Swing Beds

  • Medicare Defined Swing Bed Hospital Unit
  • Clanton, AL
  • NPI 1013365824
  Care Compare affiliation
• St Vincents Chilton LLC

  dba Ascension St. Vincent's Chilton

  • General Acute Care Hospital
  • Clanton, AL
  • NPI 1093171860
  Care Compare affiliation

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1962814061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 STALCUP RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761191726",
            "telephone_number": "817-702-2839",
            "fax_number": "817-702-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STALCUP RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761191726",
            "telephone_number": "817-702-2839",
            "fax_number": "817-702-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9150",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley S. Diatto, PA
• Samuel Diaz de Leon
• Sarah Elizabeth Diaz de Leon, M.D.
• Wilder E Diaz-Calderon, M.D.
• Julia Veronica Diaz-White, FNP-C
• Brigitte L Diaz, LCSW
• Maranda Diaz, CPNP
• Meggie Elise Diaz, MD
• Tristyn Lee Noell Dibella, LPC
• Heather Marie Dick, PA

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.