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MR. RENE ISSAC DIAZ AVENDANO MD
NPI 1548905003
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since April 29, 2022PECOS Enrolled
79-01 BROADWAY, ELMHURST, NY 11373(718) 334-2156(718) 334-2862 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Mar 9, 2023, Apr 29, 2022 (3 updates tracked since 2022).

About Mr. Rene Issac Diaz Avendano Md NPPES

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

MR. RENE ISSAC DIAZ AVENDANO MD (NPI 1548905003) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548905003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RENE ISSAC DIAZ AVENDANOCredential: MD
Location Address79-01 BROADWAYElmhurst, NY 11373
Mailing Address79-01 Broadway, Room A7-34Elmhurst, NY 11373 · (718) 334-2156 · Fax (718) 334-2862
Phone(718) 334-2156
Fax(718) 334-2862
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2022
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1548905003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
79-01 BROADWAY, Elmhurst, NY 11373
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rene Issac Diaz Avendano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335649839
PECOS Enrollment IDI20250820002851
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.

CHANA HOCHMAN AUD
Audiologist
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-1921
EKAETE ANIETIE EKPENYONG PHYSICIAN ASSISTANT
Physician Assistant
79-01 BROADWAY, ELMHURST HOSPITAL CENTER
ELMHURST, NY 11373
Queens County (718) 334-3556
AZFAR SHABBIR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
79-01 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Queens County (718) 334-4952
MS. SHEUNG-CHI NG NP
Nurse Practitioner (Psychiatric/Mental Health)
79-01 BROADWAY, MANAGED CARE, D1-01
ELMHURST, NY 11373
Queens County (718) 334-1921
JOSE ALEJANDRO MOREIRA MUSA M.D.
Student in an Organized Health Care Education/Training Program
79-01 BROADWAY
QUEENS, NY 11373
Queens County (718) 334-2156
MS. CHIH-YUN LUO NP
Nurse Practitioner (Primary Care)
79-01 BROADWAY, D4 -54 CARDIOLOGY DEPT
ELMHURST, NY 11373
Queens County (718) 334-2508
MR. BARNEY CHOW LMSW
Social Worker
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
General Acute Care Hospital
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4900

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 Rene Diaz Avendano's NPI number?

The NPI number for Rene Diaz Avendano is 1548905003. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Rene Diaz Avendano located?

Rene Diaz Avendano practices at 79-01 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-2156.

What is Rene Diaz Avendano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rene Diaz Avendano enrolled in Medicare?

Yes. Rene Diaz Avendano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rene Diaz Avendano was last updated on March 9, 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.