DR. JACQUELINE DIAZ (M.D) – Family Medicine Physician, NPI 1992991277
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JACQUELINE DIAZ (M.D)
500 BAYVIEW DR APT 631
SUNNY ISLES BEACH, FL 331604777
Phone: (786) 537-9041
Type: Location
Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States
MIAMI, FL 331262051
Phone: (305) 500-2000
Type: Mailing
9740, Southwest 40th Street, Olympia Heights, Miami-Dade County, Florida, 33165, United States
MIAMI, FL 331654080
Phone: (305) 227-5300
Fax: (305) 485-3209
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($339).
Total Amount
$444
General + Research + Ownership
Payments
4
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $339 |
| Supernus Pharmaceuticals, Inc. | $105 |
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: 2010-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100123000058 | I | Family Practice | FL | TBD |
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.
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 33160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL |
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