Individual provider Active NPI

Al Diaz, CRNA

  • Certified Registered Nurse Anesthetist
  • Brownsville, TX
National Provider Identifier
1992749949
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
698565 Issued in TX
Practice address
1072 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone
(956) 541-1278
Fax
(956) 541-2854
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 698565 TX Primary

Addresses

Primary practice location

1072 E Los Ebanos Blvd
Brownsville, TX 78520-9988

Mailing address

4100 International Plaza
Suite 600
Fort Worth, TX 76109
Phone (817) 334-0530

Other identifiers 2

IdentifierTypeStateIssuer
166014402MedicaidTX
130752OtherTXSUPERIOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000868 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355324328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Ridge Rd
Rio Grande Regional Hospital
McAllen, TX 78503-1847
Phone (956) 632-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. CurrentSince Mar 1, 2004 Accepting new patients
Xenon Medical of Texas PLLC CurrentSince Jun 9, 2015 Accepting new patients
New Leaf Mental Health PLLC PastSince Apr 23, 2023 Accepting new patients
Siesta Texas Anesthesia PLLC PastSince Aug 1, 2007 Accepting new patients
Professional Anesthesia Service, PLLC PastSince Oct 1, 2006 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients

Locations

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977

Organizations & group practices 7

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1992749949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-541-1278",
            "fax_number": "956-541-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "AL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "698565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166014402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "130752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.