DIABETES THYROID AND ENDOCRINOLOGY CENTER PL
NPI 1619126059
Internal Medicine - Endocrinology, Diabetes & Metabolism in Hudson, FL

Active since September 10, 2008CLIA 10D1094449 · Waiver
7414 COMMUNITY CT, HUDSON, FL 34667(727) 868-3200(727) 868-3204 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Diabetes Thyroid And Endocrinology Center Pl NPPES

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

DIABETES THYROID AND ENDOCRINOLOGY CENTER PL (NPI 1619126059) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Hudson, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Talal Faris, President, as its authorized official.

NPPES Registry Identity

NPI1619126059
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDIABETES THYROID AND ENDOCRINOLOGY CENTER PL
Location Address7414 COMMUNITY CTHudson, FL 34667-7101
Mailing Address7414 Community CtHudson, FL 34667-7101 · (727) 868-3200 · Fax (727) 868-3204
Fax(727) 868-3204
Organization SubpartNo
Authorized OfficialTalal FarisPresident · (727) 868-3200
Enumeration DateSeptember 10, 2008
Last NPPES UpdateApril 5, 2011
✔ NPI 1619126059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME78645
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
7414 COMMUNITY CT, Hudson, FL 34667

Other Identifiers 4

OtherDO9834FL · Rr Medicare
Medicare UPINF68557FL
Medicare PINBR837AFL
Medicaid001069200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diabetes Thyroid And Endocrinology Center Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diabetes Thyroid And Endocrinology Center Pl, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1598767634
7414 COMMUNITY CT
Hudson, FL 34667
(727) 868-3200
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1094449

Diabetes Thyroid & Endocrinology Ctr Pl · Hudson, FL
Active · expires Jan 19, 2027
CLIA Number10D1094449
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorTalal Faris
Laboratory Phone(727) 868-3200
Laboratory LocationDiabetes Thyroid & Endocrinology Ctr Pl7414 Community Ct, Hudson, FL 34667
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Diabetes Thyroid And Endocrinology Center Pl's NPI number?

The NPI number for Diabetes Thyroid And Endocrinology Center Pl is 1619126059. It was assigned to this organization in the NPPES registry on September 10, 2008.

Where is Diabetes Thyroid And Endocrinology Center Pl located?

Diabetes Thyroid And Endocrinology Center Pl is located at 7414 Community Ct, Hudson, FL 34667. The listed phone number is (727) 868-3200.

What is Diabetes Thyroid And Endocrinology Center Pl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Diabetes Thyroid And Endocrinology Center Pl enrolled in Medicare?

Yes. Diabetes Thyroid And Endocrinology Center Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diabetes Thyroid And Endocrinology Center Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Diabetes Thyroid And Endocrinology Center Pl. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diabetes Thyroid And Endocrinology Center Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1094449) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diabetes Thyroid And Endocrinology Center Pl was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.