NPIMap

Individual provider Active NPI

Ivan Rafael Matos Diaz, M.D.

  • Neurology Physician
  • Minneapolis, MN
National Provider Identifier
1972859767
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
61825 Issued in MN
Practice address
800 E 28TH St
Minneapolis, MN 55407-3723
Phone
(612) 863-3200
Fax
(612) 863-2837
NPI assigned
Jul 30, 2012
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 61825 MN Primary
Vascular Neurology Physician 2084V0102X 61825 MN
Vascular Neurology Physician 2084V0102X ME156611 FL

Addresses

Primary practice location

800 E 28TH St
Minneapolis, MN 55407-3723

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170608000057 MN Practitioner - NeurologyPractitioner - Internal Medicine 0547538985 Reassigns benefits to 10 organizations
I20251204000106 WI Practitioner - Neurology 0547538985 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Burnett Medical Center Inc CurrentSince Jan 10, 2026 Accepting new patients
Allina Health System Current Accepting new patients
Brainerd Medical Center Inc Current Accepting new patients
Northfield Hospital CurrentSince Nov 29, 2024 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jul 24, 2017 Accepting new patients
Burnett Medical Center Inc CurrentSince Jan 10, 2026 Accepting new patients
Allina Health System CurrentSince Sep 9, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients
Burnett Medical Center Inc CurrentSince Jan 10, 2026 Accepting new patients
Glencoe Regional Health Services CurrentSince May 24, 2025 Accepting new patients
Glencoe Regional Health Services CurrentSince May 24, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Nov 12, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Northfield Hospital CurrentSince Nov 29, 2024 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jul 24, 2017 Accepting new patients
Allina Health System CurrentSince Sep 24, 2025 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Nov 12, 2024 Accepting new patients
Brainerd Medical Center Inc CurrentSince Apr 20, 2025 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Sibley Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Brainerd Medical Center Inc. CurrentSince Apr 20, 2025 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 120
Chaska, MN 55318
Phone (952) 856-4001

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

280 Smith Ave N
Ste 600
Saint Paul, MN 55102
Phone (651) 241-6550

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1972859767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-3200",
            "fax_number": "612-863-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS DIAZ",
        "first_name": "IVAN",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "61825",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MN",
            "license": "61825",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME156611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.