NEISA I DIAZ (MD) – Internal Medicine Physician, NPI 1033240510

NEISA I DIAZ (MD) is a healthcare provider. based in Clearwater, Florida. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. ME97050 (FL). The NPI Number for NEISA I DIAZ (MD) is 1033240510

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NEISA I DIAZ (MD)
NPI
1033240510
Phone
(727) 754-7880
Address
13501 ICOT BLVD
Enumeration Date
8 March 2007
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
8139414400
Graduation Year
2001 (25 years ago)
PAC ID
3779675012
Group Practice PAC ID
5294247912
Professional Enrollment ID
I20070816000508
Address ID
FL336132844TA14801BLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for NEISA I DIAZ (MD)

  • 13501 ICOT BLVD

    SUITE 114

    CLEARWATER, FL 337603729

    Phone: (727) 754-7880

    Fax: (727) 754-7885

    Type: Mailing

  • 13501 ICOT BLVD STE 114

    CLEARWATER, FL 337603729

    Phone: (727) 754-7880

    Fax: (727) 754-7885

    Type: Location

  • 2370 CORPORATE CIR STE 300

    HENDERSON, NV 890747760

    Phone: (702) 910-3950

    Fax: (702) 786-6650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Novo Nordisk Inc ($63).

Total Amount

$156

General + Research + Ownership

Payments

8

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070816000508IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3924$0
View full utilization report →

Insurance plans in this area (ZIP 33760)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294247912View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the registry number for NEISA I DIAZ (MD)?
The registry entry for NEISA I DIAZ (MD) shows NPI 1033240510.
Does the public listing show NEISA I DIAZ (MD) as active?
NEISA I DIAZ (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret NEISA I DIAZ (MD)'s specialty?
The extract shows Internal Medicine Physician for NEISA I DIAZ (MD). Clinical services aligned with this taxonomy classification.
Is NEISA I DIAZ (MD) tied to Clearwater, Florida?
If you are local to Clearwater, Florida, NEISA I DIAZ (MD) may be relevant to your search.
Who maintains NEISA I DIAZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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