NPIMap

Individual provider Active NPI

Carlos Antonio Diaz-Balzac, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester, NY
National Provider Identifier
1982137709
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
298643 Issued in NY
Practice address
601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone
(585) 275-2874
Fax
(585) 273-1288
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 298643 NY Primary

Addresses

Primary practice location

601 Elmwood Ave Box Med
Rochester, NY 14642-0001

Mailing address

601 Elmwood Avenue PO Box 693
Rochester, NY 14642-2107
Phone (585) 275-2901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812002088 NY Practitioner - Internal Medicine 3577816891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Practice GroupGroup PAC ID 9436149770, 25 clinicians

Practice addresses (Care Compare)

2400 S Clinton Ave
Building H Suite 135
Rochester, NY 14618-2642
Phone (585) 275-2901

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
69.75
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Endocrinology, Diabetes & Metabolism CurrentSince Oct 16, 2021 Accepting new patients
Internal Medicine Group CurrentSince Aug 1, 2021 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 16, 2021 Accepting new patients
Internal Medicine Group CurrentSince Aug 1, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Endocrine Practice Group Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2022 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

2400 S Clinton Ave
Ste H135
Rochester, NY 14618
Phone (585) 275-2901

601 Elmwood Ave
#693
Rochester, NY 14642
Phone (585) 275-2901

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 8

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 4

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1982137709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE PO BOX 693",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146422107",
            "telephone_number": "585-275-2901",
            "fax_number": "585-273-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2874",
            "fax_number": "585-273-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-BALZAC",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "298643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.