Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE DIAZ M.D.
NPI 1295778272
Pediatrics - Pediatric Critical Care Medicine in Fort Myers, FL

Q: What is Jose Diaz's NPI number?

The NPI number for Jose Diaz is 1295778272. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Jose 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 Jose Diaz was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 June 14, 2006PECOS Enrolled

9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-5651(239) 343-5652 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Apr 4, 2022, Mar 25, 2021 and 3 more (6 updates tracked since 2017).

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About Jose Diaz M.d. NPPES

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

JOSE DIAZ M.D. (NPI 1295778272) is an individual pediatric critical care medicine provider in Fort Myers, Florida, licensed in Florida (ME0085425) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1295778272

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJOSE DIAZCredential: M.D.

Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-5651 · Fax (239) 343-5652

Phone(239) 343-5651

Fax(239) 343-5652

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateAugust 17, 20266 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1295778272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in FL · ME0085425✔ Licensed in GA · 46720

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.

9981 S HEALTHPARK DR, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 12220 N Druid Hills Rd NEAtlanta, GA 30329-3117 · Phone (404) 785-5437

Other Identifiers 1

Medicaid265196300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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)

Jose 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 20

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

DR. SREEDHAR GELLI M.D.

Hospitalist