WANDA I. DIAZ (M.D.) – Emergency Medicine Physician, NPI 1801090329

WANDA I. DIAZ (M.D.) is a healthcare provider. based in Lawton, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 038217 (GA). The NPI Number for WANDA I. DIAZ (M.D.) is 1801090329

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
WANDA I. DIAZ (M.D.)
NPI
1801090329
Phone
(580) 357-4200
Address
1902 E GORE BLVD
Enumeration Date
11 June 2007
Last Update Date
1 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
5803574200
Graduation Year
1991 (35 years ago)
PAC ID
1557444205
Group Practice PAC ID
4789863267
Professional Enrollment ID
I20110131000298
Address ID
OK735016102LA1902XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for WANDA I. DIAZ (M.D.)

  • 1902, East Gore Boulevard, Lawton, Comanche County, Oklahoma, 73501, United States

    LAWTON, OK 735016102

    Phone: (580) 357-4200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-31

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
I20110131000298IEmergency MedicineOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg16016$0
99213Established patient office or other outpatient visit, 20-29 minutes147117$0
96372Injection of drug or substance under skin or into muscle12497$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9286$0
J1885Injection, ketorolac tromethamine, per 15 mg7628$0
View full utilization report →

Insurance plans in this area (ZIP 73501)

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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: 4789863267View full group profile
NameSpecialtyState
Emergency MedicineOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Does WANDA I. DIAZ (M.D.) have a public NPI I can cite?
Public records show WANDA I. DIAZ (M.D.) under NPI 1801090329.
Is WANDA I. DIAZ (M.D.)'s NPI status active today?
Active status means WANDA I. DIAZ (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say WANDA I. DIAZ (M.D.) does?
Insurance directories may phrase it differently, but here WANDA I. DIAZ (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WANDA I. DIAZ (M.D.)?
WANDA I. DIAZ (M.D.) is associated with Lawton, Oklahoma in the same public data insurers reference.
Why is information missing for WANDA I. DIAZ (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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