1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Family Medicine
  6. NPI Profile

DR. GLENN FELIX TAN DIAZ M.D.
NPI 1487695466
Family Medicine in Henderson, NV

Active since June 09, 2006PECOS Enrolled
2825 SIENA HEIGHTS DR STE 101, HENDERSON, NV 89052(702) 616-7049(702) 492-1467 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glenn Felix Tan Diaz M.d. NPPES

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

DR. GLENN FELIX TAN DIAZ M.D. (NPI 1487695466) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (20627) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Allston.

NPPES Registry Identity

NPI1487695466
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLENN FELIX TAN DIAZCredential: M.D.
Location Address2825 SIENA HEIGHTS DR STE 101Henderson, NV 89052-3976
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Phone(702) 616-7049
Fax(702) 492-1467
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1487695466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NV · 20627✔ Licensed in CA · A73348✔ Licensed in MA · 246006
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2825 SIENA HEIGHTS DR STE 101, Henderson, NV 89052
Open in Google Maps ↗

Secondary Practice Location 1

Location 1287 Western AveAllston, MA 02134-1010 · Phone (617) 783-0500 · Fax (617) 783-5514

Other Identifiers 2

Medicaid1487695466NV
Other20627NV · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn Felix Tan 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 Glenn Felix Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Holdings Nevada Inc
6.7 mi
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group
NPI 1245997279 (702) 566-5500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 5

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

JOYCE BALINGIT DEL ROSARIO FNP-C
Nurse Practitioner (Family)
2825 SIENA HEIGHTS DR STE 101
HENDERSON, NV 89052
Clark County (702) 616-7049
WING YIN 'WINNIE' TONG PA-C
Physician Assistant
2825 SIENA HEIGHTS DR STE 101
HENDERSON, NV 89052
Clark County (702) 616-7049
CHERYL R VENIEGAS MD
Family Medicine
2825 SIENA HEIGHTS DR STE 101
HENDERSON, NV 89052
Clark County (702) 616-7049
KEVIN URMAZA D.O.
Family Medicine
2825 SIENA HEIGHTS DR STE 101
HENDERSON, NV 89052
Clark County (702) 616-7049
NIDA E BONUEL MD
Internal Medicine
2825 SIENA HEIGHTS DR STE 101
HENDERSON, NV 89052
Clark County (702) 616-7049

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 Glenn Felix Diaz's NPI number?

The NPI number for Glenn Felix Diaz is 1487695466. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Glenn Felix Diaz located?

Glenn Felix Diaz practices at 2825 Siena Heights Dr Ste 101, Henderson, NV 89052. The listed phone number is (702) 616-7049.

What is Glenn Felix Diaz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glenn Felix Diaz enrolled in Medicare?

Yes. Glenn Felix Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Felix Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Felix Diaz reassigns Medicare benefits to Intermountain Medical Holdings Nevada Inc (Henderson, NV). 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 Glenn Felix Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenn Felix Diaz was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.