GUSTAVO ADOLFO DIAZ M.D.
NPI 1164599825
Otolaryngology - Facial Plastic Surgery in Fairhope, AL

Q: What is Gustavo Diaz's NPI number?

The NPI number for Gustavo Diaz is 1164599825. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Gustavo Diaz's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Diaz was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2006PECOS Enrolled

411 N SECTION ST STE 5, FAIRHOPE, AL 36532(251) 517-5050(251) 517-5049 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Gustavo Adolfo Diaz M.d. NPPES

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

GUSTAVO ADOLFO DIAZ M.D. (NPI 1164599825) is an individual facial plastic surgery provider in Fairhope, Alabama, licensed in North Carolina (02055) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164599825

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NameGUSTAVO ADOLFO DIAZCredential: M.D.

Location Address411 N SECTION ST STE 5Fairhope, AL 36532-2650

Mailing Address17026 Carlton Way RdHuntersville, NC 28078 · (251) 753-2209

Phone(251) 517-5050

Fax(251) 517-5049

Sole ProprietorYes

Enumeration DateNovember 29, 2006

Last NPPES UpdateAugust 1, 2019

✔ NPI 1164599825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

Licenses✔ Licensed in NC · 02055✔ Licensed in FL · ME103280✔ Licensed in AL · 25353

Definition

An otolaryngologist who specializes in facial plastic surgery.

411 N SECTION ST STE 5, Fairhope, AL 36532

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo Adolfo Diaz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gustavo Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC

552 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, North Carolina enrollment
728 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Diaz's NPI number?

The NPI number for Gustavo Diaz is 1164599825. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Gustavo Diaz located?

Gustavo Diaz practices at 411 N Section St Ste 5, Fairhope, AL 36532. The listed phone number is (251) 517-5050.

What is Gustavo Diaz's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Gustavo Diaz enrolled in Medicare?

Yes. Gustavo Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gustavo Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Diaz reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gustavo Diaz was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.