DR. JOHAIRA LIDASAN DIANALAN MD
NPI 1568775104
Internal Medicine in Flushing, NY

Active since July 25, 2010PECOS EnrolledAccepts Medicare Assignment
14015 SANFORD AVE, FLUSHING, NY 11355(718) 826-4000(718) 826-4075 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, May 29, 2025, Sep 22, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Johaira Lidasan Dianalan Md NPPES

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

DR. JOHAIRA LIDASAN DIANALAN MD (NPI 1568775104) is an individual internal medicine provider in Flushing, New York, licensed in New York (271857) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1568775104
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHAIRA LIDASAN DIANALANCredential: MD
Location Address14015 SANFORD AVEFlushing, NY 11355-2686
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 826-4075
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 25, 2010
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1568775104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 271857
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.

14015 SANFORD AVE, Flushing, NY 11355

Secondary Practice Locations 3

Location 196-10 Metropolitan AveForest Hills, NY 11375-6625 · Phone (718) 459-0400 · Fax (718) 670-6479
Location 231-75 23rd StreetAstoria, NY 11106-4134 · Phone (718) 956-2200 · Fax (718) 956-2316
Location 31650 Grand ConcourseBronx, NY 10457-7606 · Phone (718) 960-1234

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. Johaira Lidasan Dianalan Md 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 ID6608006218
PECOS Enrollment IDI20140227000828
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 8

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.
139 services78 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
82 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services23 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
28 services19 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.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Internal Medicine
14015 SANFORD AVE
FLUSHING, NY 11355
Internal Medicine (Cardiovascular Disease)
14015 SANFORD AVE
FLUSHING, NY 11355
Counselor (Mental Health)
14015 SANFORD AVE
FLUSHING, NY 11355
Social Worker
14015 SANFORD AVE
FLUSHING, NY 11355
Urology
14015 SANFORD AVE
FLUSHING, NY 11355
Pediatrics
14015 SANFORD AVE
FLUSHING, NY 11355
Internal Medicine
14015 SANFORD AVE
FLUSHING, NY 11355
Early Intervention Provider Agency
14015 SANFORD AVE, 2ND FLOOR (140-15B)
FLUSHING, NY 11355

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 Johaira Dianalan's NPI number?

The NPI number for Johaira Dianalan is 1568775104. It was assigned to this individual provider in the NPPES registry on July 25, 2010.

Where is Johaira Dianalan located?

Johaira Dianalan practices at 14015 Sanford Ave, Flushing, NY 11355. The listed phone number is (718) 826-4000.

What is Johaira Dianalan's specialty?

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

Is Johaira Dianalan enrolled in Medicare?

Yes. Johaira Dianalan 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.

When was this NPI record last updated?

The NPPES record for Johaira Dianalan was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.