DENISSE DIAZ MD
NPI 1598113367
Internal Medicine - Cardiovascular Disease in Hialeah, FL

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
6050 W 20TH AVE FL 3, HIALEAH, FL 33016(786) 584-5555 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Denisse Diaz Md NPPES

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

DENISSE DIAZ MD (NPI 1598113367) is an individual cardiovascular disease provider in Hialeah, Florida, licensed in Florida (145910) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598113367
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDENISSE DIAZCredential: MD
Location Address6050 W 20TH AVE FL 3Hialeah, FL 33016-2605
Mailing Address8245 Sw 42nd StMiami, FL 33155-4209 · (786) 239-1323
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 1, 2016
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1598113367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · 145910
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6050 W 20TH AVE FL 3, Hialeah, FL 33016

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 and accepts Medicare assignment

Denisse Diaz 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 ID3779907241
PECOS Enrollment IDI20200717000425
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 14

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
116 services116 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
55 services52 patients
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.
55 services37 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
51 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.57
Promoting Interoperability100
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Hospitalist
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Acute Care)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine (Cardiovascular Disease)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016

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 Denisse Diaz's NPI number?

The NPI number for Denisse Diaz is 1598113367. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Denisse Diaz located?

Denisse Diaz practices at 6050 W 20th Ave Fl 3, Hialeah, FL 33016. The listed phone number is (786) 584-5555.

What is Denisse Diaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Denisse Diaz enrolled in Medicare?

Yes. Denisse Diaz 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.

What insurance does Denisse Diaz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Denisse Diaz 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.

Is Denisse Diaz affiliated with any hospitals?

According to CMS data, Denisse Diaz is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Denisse Diaz was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.