PAUL THOMAS DIAZ
NPI 1295417236
Nurse Practitioner - Family in Delta, OH

Q: What is Paul Diaz's NPI number?

The NPI number for Paul Diaz is 1295417236. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Q: What is Paul Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Diaz was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 01, 2023PECOS EnrolledAccepts Medicare Assignment

6696 US HIGHWAY 20A, DELTA, OH 43515(419) 822-3242(419) 822-9008 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paul Thomas Diaz NPPES

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

PAUL THOMAS DIAZ (NPI 1295417236) is an individual family provider in Delta, Ohio, licensed in Ohio (APRN.CNP.0034262) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Toledo College Of Medicine (2023).

NPPES Registry Identity

NPI1295417236

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePAUL THOMAS DIAZ

Location Address6696 US HIGHWAY 20ADelta, OH 43515-9799

Mailing Address6696 Us Highway 20aDelta, OH 43515-9799 · (419) 822-3242

Phone(419) 822-3242

Fax(419) 822-9008

Sole ProprietorYes

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2023

Enumeration DateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1295417236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0034262

6696 US HIGHWAY 20A, Delta, OH 43515

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, MedMutual.Insurance ›

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

Paul Thomas Diaz 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 ID1052774940

PECOS Enrollment IDI20230824003117

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

209 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services53 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

56 services27 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

13 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361333

Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43515 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 4

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

MS. ANN MARIE STECK M.D.

Family Medicine

6696 US HIGHWAY 20A
DELTA, OH 43515

Fulton County (419) 822-3242

DR. DEXTER L PHILLIPS JR. D.O.

Family Medicine

6696 US HIGHWAY 20A
DELTA, OH 43515

Fulton County (419) 822-3242

NICHOLAS TANNER BARNES D.O.

Family Medicine

6696 US HIGHWAY 20A
DELTA, OH 43515

Fulton County (419) 822-3242

ELIZABETH ANNE BARGA

Family Medicine

6696 US HIGHWAY 20A
DELTA, OH 43515

Fulton County (419) 794-9292

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 Paul Diaz's NPI number?

The NPI number for Paul Diaz is 1295417236. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Paul Diaz located?

Paul Diaz practices at 6696 Us Highway 20A, Delta, OH 43515. The listed phone number is (419) 822-3242.

What is Paul Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Diaz enrolled in Medicare?

Yes. Paul Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Diaz accept?

Health plans from CareSource, McLaren Health Plan Community and MedMutual list Paul 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.

Is Paul Diaz affiliated with any hospitals?

According to CMS data, Paul Diaz is affiliated with Promedica Toledo Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Paul Diaz was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.