Individual provider Active NPI

Alonso R Diaz, M. D.

  • Nephrology Physician
  • Bridgeville, PA
National Provider Identifier
1992169171
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD473697 Issued in PA
Practice address
1597 Washington Pike Ste A22
Bridgeville, PA 15017-2878
Phone
(412) 489-6919
Fax
(412) 489-6279
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 1992169171 CA
Nephrology Physician 207RN0300X MD473697 PA Primary

Addresses

Primary practice location

1597 Washington Pike Ste A22
Bridgeville, PA 15017-2878

Mailing address

1597 Washington Pike Ste A22
Bridgeville, PA 15017-2878
Phone (412) 489-6919

Other practice location 1

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (872) 588-2449

Other practice location 2

4150 V Street, PSSB Suite 3500
sacramento, CA 95817
Phone (872) 588-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210709000580 PA Practitioner - Nephrology 3870831365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teredesai McCann and Associates PCGroup PAC ID 4183601982, 13 clinicians

Practice addresses (Care Compare)

1597 Washington Pike
Suite A22
Bridgeville, PA 15017-2878
Phone (412) 489-6919

Hospital & facility affiliations

  • FKC Liberty Dialysis Baden Dialysis facility, Baden, PA, CCN 392721
  • FKC Cranberry Dialysis facility, Cranberry Township, PA, CCN 392642
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Encompass Health Rehabilitation Hosp of Sewickley Inpatient rehabilitation facility, Sewickley, PA, CCN 393045
  • Canonsburg General Hospital Inpatient rehabilitation facility, Canonsburg, PA, CCN 39T160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1992169171CAMDNephrology Physician
MD473697PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teredesai McCann & Associates PC Nephrology CurrentSince Oct 1, 2023 Accepting new patients
Montefiore Medical Center Nephrology PastSince Aug 27, 2023 Accepting new patients
Teredesai McCann & Associates PC Past Accepting new patients

Locations

3153 Brodhead Rd
#B
Aliquippa, PA 15001
Phone (724) 774-0327

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2242 Darlington Rd
Ste B
Beaver Falls, PA 15010
Phone (724) 384-8392

2242 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 843-9150

1597 Washington Pike
Bridgeville, PA 15017
Phone (412) 279-4800

1597 Washington Pike
Ste A22
Bridgeville, PA 15017
Phone (412) 489-6919

1200 Corporate Dr
Canonsburg, PA 15317
Phone (724) 745-5565

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1992169171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A22",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172878",
            "telephone_number": "412-489-6919",
            "fax_number": "412-489-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A22",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172878",
            "telephone_number": "412-489-6919",
            "fax_number": "412-489-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142202039",
            "country_code": "US",
            "telephone_number": "872-588-2449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 V Street, PSSB Suite 3500",
            "address_purpose": "LOCATION",
            "city": "sacramento",
            "state": "CA",
            "postal_code": "95817",
            "country_code": "US",
            "telephone_number": "872-588-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALONSO",
        "middle_name": "R",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "1992169171",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD473697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.