GWENDOLYN DIAZ MEDINA MD
NPI 1578296844
General Practice in Kissimmee, FL

Active since July 05, 2022PECOS Enrolled
833 E OAK ST, KISSIMMEE, FL 34744(844) 665-4827 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 14, 2024, Aug 29, 2023, Jul 19, 2023 and 1 more (4 updates tracked since 2022).

About Gwendolyn Diaz Medina Md NPPES

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

GWENDOLYN DIAZ MEDINA MD (NPI 1578296844) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (1571) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578296844
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGWENDOLYN DIAZ MEDINACredential: MD
Location Address833 E OAK STKissimmee, FL 34744-5838
Mailing Address2262 Chatham Place DrOrlando, FL 32824-4766 · (407) 267-8203
Sole ProprietorYes
Enumeration DateJuly 5, 2022
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1578296844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · 1571 Licensed in PR · 023427
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
833 E OAK ST, Kissimmee, FL 34744

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gwendolyn Diaz Medina 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.

Other Providers at the Same Location NPPES 4

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

General Practice
833 E OAK ST
KISSIMMEE, FL 34744
General Practice
833 E OAK ST
KISSIMMEE, FL 34744
Family Medicine
833 E OAK ST
KISSIMMEE, FL 34744
Counselor
833 E OAK ST
KISSIMMEE, FL 34744

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 Gwendolyn Diaz Medina's NPI number?

The NPI number for Gwendolyn Diaz Medina is 1578296844. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Gwendolyn Diaz Medina located?

Gwendolyn Diaz Medina practices at 833 E Oak St, Kissimmee, FL 34744. The listed phone number is (844) 665-4827.

What is Gwendolyn Diaz Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gwendolyn Diaz Medina enrolled in Medicare?

Yes. Gwendolyn Diaz Medina is registered in the Medicare PECOS enrollment system.

What insurance does Gwendolyn Diaz Medina accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gwendolyn Diaz Medina 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 Gwendolyn Diaz Medina was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.