DR. DIEGO MAURICIO DIAZ (M.D.) – Pediatric Gastroenterology Physician, NPI 1164419107

DR. DIEGO MAURICIO DIAZ (M.D.) is a healthcare provider. based in Coral gables, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME90761 (FL). The NPI Number for DR. DIEGO MAURICIO DIAZ (M.D.) is 1164419107

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIEGO MAURICIO DIAZ (M.D.)
NPI
1164419107
Phone
(305) 661-1515
Address
5955 PONCE DE LEON BLVD.
Enumeration Date
4 October 2005
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052701113
Graduation Year
1996 (30 years ago)
PAC ID
4688845746
Group Practice PAC ID
3678536240
Professional Enrollment ID
I20110921000251
Address ID
FL330337600HO975XXWAYX318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for DR. DIEGO MAURICIO DIAZ (M.D.)

  • 5955, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    CORAL GABLES, FL 33146

    Phone: (305) 661-1515

    Fax: (305) 662-3723

    Type: Mailing

  • 1150, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    SUITE 545

    HOLLYWOOD, FL 330215424

    Phone: (954) 967-9400

    Fax: (954) 967-9551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $2,356.

Total Amount is formed as General ($2,356) + Research ($0) + Ownership ($0) = $2,356.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($498).

Total Amount

$2,356

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2011-09-21

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
I20110921000251IPediatric 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33146)

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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: 3678536240View full group profile
NameSpecialtyState
Pediatric MedicineFL
Gastroenterology, Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YFL
Pediatric Medicine, GastroenterologyFL
Pediatric Medicine, EndocrinologyFL
Pediatric MedicineFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DIEGO MAURICIO DIAZ (M.D.)?
DR. DIEGO MAURICIO DIAZ (M.D.) — NPI 1164419107 — is the standard way to identify this listing.
Is DR. DIEGO MAURICIO DIAZ (M.D.) still practicing?
DR. DIEGO MAURICIO DIAZ (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. DIEGO MAURICIO DIAZ (M.D.)?
For research purposes, treat DR. DIEGO MAURICIO DIAZ (M.D.) as Pediatric Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. DIEGO MAURICIO DIAZ (M.D.) serve?
DR. DIEGO MAURICIO DIAZ (M.D.)'s listing highlights Coral Gables, Florida; more addresses can appear in NPPES.
Is the information about DR. DIEGO MAURICIO DIAZ (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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