TANIA DIAZ – Physician Assistant, NPI 1366070955

TANIA DIAZ is a healthcare provider. based in Woodstock, Illinois. specializing in PHYSICIAN ASSISTANT. The NPI Number for TANIA DIAZ is 1366070955

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TANIA DIAZ
NPI
1366070955
Phone
Not provided
Address
2408 WATERLEAF LN
Enumeration Date
30 March 2020
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4789086299
Group Practice PAC ID
4284983974
Professional Enrollment ID
I20210707000510
Address ID
IL601024527Al1340XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:6State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for TANIA DIAZ

  • 2408 WATERLEAF LN

    WOODSTOCK, IL 600989207

    Phone:

    Type: Mailing

  • 241 COMMERCE DR STE 102

    CRYSTAL LAKE, IL 600143538

    Phone:

    Type: Mailing

  • 1340 Ryan Pkwy

    Algonquin, IL 601024527

    Phone: (815) 276-0150

    Fax: (877) 461-6742

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $1,531.

Total Amount is formed as General ($1,531) + Research ($0) + Ownership ($0) = $1,531.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($373).

Total Amount

$1,531

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,531

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2021-07-07

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
I20210707000510IPhysician AssistantILTBD

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 60098)

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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: 4284983974View full group profile
NameSpecialtyState
Physician AssistantIL
Physician AssistantIL
Family PracticeIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference TANIA DIAZ?
For TANIA DIAZ, use NPI 1366070955 as the unique 10-digit identifier.
Active or inactive — what applies to TANIA DIAZ?
You should see TANIA DIAZ as active in CMS-hosted NPPES data.
What area of care is associated with TANIA DIAZ?
TANIA DIAZ's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is TANIA DIAZ registered?
Use Woodstock, Illinois as the headline location for TANIA DIAZ here.
Can I trust this NPI listing for TANIA DIAZ?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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