DR. ANTONIO LUIS DIAZ HERNANDEZ MD
NPI 1003016775
Internal Medicine - Nephrology in San Juan, PR

NPI Status: Active since July 20, 2007

Contact Information

1492 AVE LA CONSTITUCION SUITE 717
EDIFICIO CENTRO EUROPA
SAN JUAN, PR
ZIP 00907
Phone: (787) 723-5017

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  • Individual
  • Male
  • Years of Experience 19
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANTONIO DIAZ HERNANDEZ

Antonio Diaz Hernandez is an internist established in San Juan, Puerto Rico and his medical specialization is Internal Medicine with a focus in nephrology with more than 19 years of experience. He graduated from Ponce School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1003016775 assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 17173 (PR). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1003016775
Provider Name
DR. ANTONIO LUIS DIAZ HERNANDEZ MD
Gender
Male
Entity Type
Individual
Location Address
1492 AVE LA CONSTITUCION SUITE 717 EDIFICIO CENTRO EUROPA SAN JUAN, PR 00907
Location Phone
(787) 723-5017
Mailing Address
LA SIERRA DEL RIO 300 AVE LA SIERRA BOX 23 SAN JUAN, PR 00926
Mailing Phone
(787) 240-9909
Medical School Name
PONCE SCHOOL OF MEDICINE
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
07-20-2007
Last Update Date
10-26-2022
Code Navigator

An internist like Antonio Diaz Hernandez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Antonio Diaz Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
17173
License State
PR
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

26095 (PR)

PECOS Enrollment and Medicare Participation Status

Antonio Diaz Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113050956

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100730000851

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    2 DME suppliers used 16 Medicare Claims 70 Services Paid

  • Other DME (D1E)

    Normal, low and high calibrator solution / chips (HCPCS:A4256)

    1 DME suppliers used 15 Medicare Claims 15 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    2 DME suppliers used 15 Medicare Claims 33 Services Paid

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 253

    Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

  • 131

    Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

  • 88

    Hemodialysis procedure with one physician evaluation (HCPCS:90935)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Antonio Diaz Hernandez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOSPITAL PAVIA SANTURCECALLE PROFESOR AUGUSTO RODRIGUEZ #1462
FERNANDEZ JUNCOS, PR 910
(787) 641-1616Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030112714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 7 + 1 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003016775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003016775, enumerated in the NPI registry as an "individual" on July 20, 2007

The provider is located at 1492 Ave La Constitucion Suite 717 Edificio Centro Europa San Juan, Pr 00907 and the phone number is (787) 723-5017

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider has more than 19 years of experience. He graduated from Ponce School Of Medicine in 2005.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Dialysis services (2-3 physician visits per month), patient 20 years of age and older, Dialysis services (1 physician visit per month), patient 20 years of age and older and Hemodialysis procedure with one physician evaluation.

The practitioner is affiliated to the following hospital(s): HOSPITAL PAVIA SANTURCE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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