JOSE A DIAZ (MD) – Trauma Surgery Physician, NPI 1548415086

JOSE A DIAZ (MD) is a healthcare provider. based in Fort myers, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME92159 (FL). The NPI Number for JOSE A DIAZ (MD) is 1548415086

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOSE A DIAZ (MD)
NPI
1548415086
Phone
(239) 424-1479
Address
PO BOX 2147
Enumeration Date
25 November 2008
Last Update Date
2 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6135124326
Graduation Year
2001 (25 years ago)
PAC ID
3870650575
Group Practice PAC ID
2264796531
Professional Enrollment ID
I20240524003368
Address ID
AZ853952626GO13555RDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

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Provider Addresses for JOSE A DIAZ (MD)

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 424-1479

    Type: Mailing

  • 2780, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States

    # 702

    FORT MYERS, FL 33901

    Phone: (239) 343-3474

    Fax: (239) 343-2968

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $5,119.

Total Amount is formed as General ($5,119) + Research ($0) + Ownership ($0) = $5,119.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,078).

Total Amount

$5,119

General + Research + Ownership

Payments

7

Total payment records

General Amount

$5,119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20090325000223IGeneral SurgeryFLTBD
I20240524003368IGeneral SurgeryAZTBD
I20251130000162IGeneral SurgeryGATBD

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 33902)

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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: 2264796531View full group profile
NameSpecialtyState
General SurgeryAZ
General SurgeryNV
General SurgeryAZ
General SurgeryAZ
Vascular Surgery, General SurgeryAZ

Reviews

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Frequently asked questions

Can I use this page to confirm JOSE A DIAZ (MD)'s NPI?
Yes. JOSE A DIAZ (MD) is listed with NPI 1548415086 in the public NPI dataset.
Does the file indicate JOSE A DIAZ (MD) is practicing under active NPI?
Directory data currently reports JOSE A DIAZ (MD) as active.
What is JOSE A DIAZ (MD)'s specialty?
The listing groups JOSE A DIAZ (MD) with Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
Does JOSE A DIAZ (MD) list a practice location?
Patients near Fort Myers, Florida may find JOSE A DIAZ (MD) in results; validate coverage separately.
Is the information about JOSE A DIAZ (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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