NICOLLE DIAZ M.D. - NPI 1245763705 - Pediatrics in Hollywood, FL

Q: What is Nicolle Diaz's NPI number?

The NPI number for Nicolle Diaz is 1245763705. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Nicolle Diaz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Nicolle Diaz was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Nicolle Diaz M.d. NPPES

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

NICOLLE DIAZ M.D. (NPI 1245763705) is an individual pediatric critical care medicine provider in Hollywood, Florida, licensed in Florida (ME162273) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245763705

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameNICOLLE DIAZCredential: M.D.

Location Address1005 N 35TH AVEHollywood, FL 33021-5402

Mailing Address1117 E Hallandale Beach BlvdHallandale Beach, FL 33009-4488 · (954) 454-5131 · Fax (954) 241-6908

Phone(954) 265-6301

Fax(954) 985-1434

Sole ProprietorNo

Enumeration DateApril 11, 2017

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1245763705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME162273

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1005 N 35TH AVE, Hollywood, FL 33021

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Other Identifiers 1

Medicaid118232200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolle 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.

Other Providers at the Same Location NPPES 12

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

MATTHEW DOUGLAS RADDING PA-C

Physician Assistant