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

RAIDELYS AVILA DIAZ MD
NPI 1356920664
Pathology - Anatomic Pathology & Clinical Pathology in Austin, TX

Q: What is Raidelys Avila Diaz's NPI number?

The NPI number for Raidelys Avila Diaz is 1356920664. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Raidelys Avila Diaz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 05, 2021PECOS Enrolled

3445 EXECUTIVE CENTER DR STE 250, AUSTIN, TX 78731(512) 579-4000 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Apr 5, 2021 (2 updates tracked since 2021).

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About Raidelys Avila Diaz Md NPPES

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

RAIDELYS AVILA DIAZ MD (NPI 1356920664) is an individual anatomic pathology & clinical pathology provider in Austin, Texas, licensed in Texas (W8804) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harker Heights.

NPPES Registry Identity

NPI1356920664

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameRAIDELYS AVILA DIAZCredential: MD

Location Address3445 EXECUTIVE CENTER DR STE 250Austin, TX 78731-1678

Mailing AddressPo Box 28763Austin, TX 78755-8763

Phone(512) 579-4000

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1356920664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TX · W8804

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3445 EXECUTIVE CENTER DR STE 250, Austin, TX 78731

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Secondary Practice Location 1

Location 1850 W Central Texas ExpyHarker Heights, TX 76548-1890 · Phone (512) 579-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raidelys Avila Diaz Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 20

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

DR. CELINA V INGRAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)