MARIO ANTONIO DIAZ PA-C
NPI 1093475246
Physician Assistant in Patchogue, NY

Q: What is Mario Diaz's NPI number?

The NPI number for Mario Diaz is 1093475246. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Q: What is Mario Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Diaz was last updated on January 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 28, 2021PECOS EnrolledAccepts Medicare Assignment

101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 575-9591 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2022, Jan 4, 2022, Dec 28, 2021 (3 updates tracked since 2021).

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About Mario Antonio Diaz Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO ANTONIO DIAZ PA-C (NPI 1093475246) is an individual physician assistant in Patchogue, New York, licensed in New York (027841) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093475246

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARIO ANTONIO DIAZCredential: PA-C

Location Address101 HOSPITAL RDPatchogue, NY 11772-4870

Mailing Address20 Highland RdBrentwood, NY 11717-1609 · (631) 575-9591

Phone(631) 575-9591

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 28, 2021

Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2022

✔ NPI 1093475246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 027841

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 HOSPITAL RD, Patchogue, NY 11772

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mario Antonio Diaz Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880087956

PECOS Enrollment IDI20220214000888

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

44 services44 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less 12001

This is a procedure to fix a minor wound on your scalp, neck, underarms, trunk, arms, or legs that is 2.5 cm or less. It involves cleaning, and then stitching or gluing the wound to help it heal properly and minimize scarring.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330332

Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAISHALI MEHTA MD

Internal Medicine (Critical Care Medicine)