MR. JOSE FERNANDO DIAZ (PA-C) – Surgical Physician Assistant, NPI 1851521082

MR. JOSE FERNANDO DIAZ (PA-C) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3803 (MA). The NPI Number for MR. JOSE FERNANDO DIAZ (PA-C) is 1851521082

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSE FERNANDO DIAZ (PA-C)
NPI
1851521082
Phone
(413) 732-1928
Address
300 Stafford St Ste 101
Enumeration Date
22 July 2009
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
3375689334
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20091005000417
Address ID
MA011991001SP280XXSTXX312

Contacts

Secure Messaging
jdiaz9710@direct.riverbendmedical.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness95
Years active:16State licenses:1Other names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MR. JOSE FERNANDO DIAZ (PA-C)

  • 300 Stafford St Ste 101

    Springfield, MA 011043581

    Phone: (413) 732-1928

    Fax: (413) 733-5604

    Type: Location

  • 2 MEDICAL CENTER DR STE 512

    SPRINGFIELD, MA 011071273

    Phone: (413) 794-5550

    Fax: (413) 794-4212

    Type: Location

  • 280 CHESTNUT ST FL 2

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-3909

    Type: Mailing

  • 101, Stafford Street, North End, Springfield, Hampden County, Massachusetts, 01104, United States

    SPRINGFIELD, MA 011043581

    Phone: (413) 732-1928

    Fax: (413) 733-5604

    Type: Location

  • 54, Sutton Place, East Longmeadow, Hampden County, Massachusetts, 01036, United States

    EAST LONGMEADOW, MA 010281470

    Phone: (413) 395-7579

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $678.

Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($347).

Total Amount

$678

General + Research + Ownership

Payments

33

Total payment records

General Amount

$678

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

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: 2026-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091005000417IPhysician AssistantMATBD
I20260205000130IPhysician AssistantCTTBD

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 01104)

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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: 5991602971View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. JOSE FERNANDO DIAZ (PA-C)?
The federal identifier for MR. JOSE FERNANDO DIAZ (PA-C) is NPI 1851521082.
Is MR. JOSE FERNANDO DIAZ (PA-C) active in the national directory?
MR. JOSE FERNANDO DIAZ (PA-C)'s public NPI profile is in an active state.
What kind of provider is MR. JOSE FERNANDO DIAZ (PA-C)?
The page reflects Surgical Physician Assistant for MR. JOSE FERNANDO DIAZ (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JOSE FERNANDO DIAZ (PA-C)?
The page summarizes Springfield, Massachusetts for MR. JOSE FERNANDO DIAZ (PA-C); expand the address list for detail.
How can I contact MR. JOSE FERNANDO DIAZ (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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