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DR. JORGE LUIS DIAZ D.O.
NPI 1346279809
Internal Medicine in Hialeah, FL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
7100 W 20TH AVE, SUITE 401, HIALEAH, FL 33016(305) 821-6112(305) 821-9050 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jorge Luis Diaz D.o. NPPES

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

DR. JORGE LUIS DIAZ D.O. (NPI 1346279809) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (OS7912) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1346279809
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JORGE LUIS DIAZCredential: D.O.
Location Address7100 W 20TH AVE, SUITE 401Hialeah, FL 33016-1897
Mailing Address7100 W 20th Ave Ste 401Hialeah, FL 33016-1811 · (305) 821-6112 · Fax (305) 829-9050
Phone(305) 821-6112
Fax(305) 821-9050
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 3, 2018
✔ NPI 1346279809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS7912
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7100 W 20TH AVE, Hialeah, FL 33016
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Other Identifiers 1

Medicaid019928600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Jorge Luis Diaz D.o. 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 ID1951363027
PECOS Enrollment IDI20120529000518
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 3

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 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.
120 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%16,488 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
76%95 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%1,243 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
35%1,306 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
20%1,306 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,306 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims53 services$7.11 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$37.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$65.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RENE GUERRA MD PL
Internal Medicine
7100 W 20TH AVE, SUITE G166
HIALEAH, FL 33016
Miami-Dade County (786) 399-9742
STEVEN FIELDS MD PA
Internal Medicine
7100 W 20TH AVE, SUITE 311
HIALEAH, FL 33016
Miami-Dade County (305) 823-2886
INA WINDERMAN R.P.T.
Physical Therapist
7100 W 20TH AVE, SUITE 101
HIALEAH, FL 33016
Miami-Dade County (305) 822-0401
DR. ISRAEL JONATHAN TCHABAN M.D., S.A.
Physician Assistant (Surgical)
7100 W 20TH AVE
HIALEAH, FL 33016
Miami-Dade County (305) 823-9120
HERNANDO ALVAREZ MD PA
General Acute Care Hospital
7100 W 20TH AVE, SUITE 803
HIALEAH, FL 33016
Miami-Dade County (305) 556-3122
ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.
Internal Medicine (Gastroenterology)
7100 W 20TH AVE, SUITE 301
HIALEAH, FL 33016
Miami-Dade County (305) 556-3727
DR. JOSE F FONT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7100 W 20TH AVE, STE 806
HIALEAH, FL 33016
Miami-Dade County (305) 557-3212
DR. LUIS RAIMUNDO PAGAN MD
Neurological Surgery
7100 W 20TH AVE, SUITE G-176
HIALEAH, FL 33016
Miami-Dade County (305) 826-3366

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 Jorge Diaz's NPI number?

The NPI number for Jorge Diaz is 1346279809. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jorge Diaz located?

Jorge Diaz practices at 7100 W 20th Ave Suite 401, Hialeah, FL 33016. The listed phone number is (305) 821-6112.

What is Jorge Diaz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge Diaz enrolled in Medicare?

Yes. Jorge 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 Jorge Diaz accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 3 other insurers list Jorge 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 Jorge Diaz was last updated on October 3, 2018. 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.