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NICOLLE DIAZ M.D.
NPI 1245763705
Pediatrics - Pediatric Critical Care Medicine in Hollywood, FL

Active since April 11, 2017PECOS Enrolled
1005 N 35TH AVE, HOLLYWOOD, FL 33021(954) 265-6301(954) 985-1434 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2018, Apr 11, 2017 (2 updates tracked since 2017).

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Pediatric Critical Care Of S Fl PA
1.2 mi
Pediatric Critical Care Medicine
3501 JOHNSON ST, PICU
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1164484432 (954) 986-6345

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

Other Providers at the Same Location NPPES 13

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

DEMETRA CHRISTINA PAHOPOS
Anesthesiologist Assistant
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
MATTHEW DOUGLAS RADDING PA-C
Physician Assistant
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301
MARIA FLORENCIA LUCANO MD
Pediatrics
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301
MEGAN BIVINS M.D.
Pediatrics
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301
THERESA PRISCILLA LAWRENCE ARNP
Nurse Practitioner (Pediatrics)
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301
JOOHI KHAN D.O.
Anesthesiology (Pediatric Anesthesiology)
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (305) 469-0298
ZAIRA N. GARCIA-CORUJO MD
Pediatrics (Pediatric Critical Care Medicine)
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301
MS. MARIA-JOSE GUTIERREZ ARNP
Nurse Practitioner (Pediatrics, Critical Care)
1005 N 35TH AVE
HOLLYWOOD, FL 33021
Broward County (954) 265-6301

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 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.

Where is Nicolle Diaz located?

Nicolle Diaz practices at 1005 N 35th Ave, Hollywood, FL 33021. The listed phone number is (954) 265-6301.

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.

Is Nicolle Diaz enrolled in Medicare?

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

Which organization bills Medicare for Nicolle Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolle Diaz reassigns Medicare benefits to Pediatric Critical Care Of S Fl PA (Hollywood, FL). 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 Nicolle Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolle Diaz accept?

Health plans from Oscar Health Maintenance Organization of Florida list Nicolle Diaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.