FITZ GERALD IHEANYICHUKWU DIALA
NPI 1639813041
Ophthalmology in Nashville, TN

Q: What is Fitz Gerald Diala's NPI number?

The NPI number for Fitz Gerald Diala is 1639813041. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Fitz Gerald Diala's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Fitz Gerald Diala was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2022PECOS Enrolled

1161 21ST AVE S, D-4311 MCN, NASHVILLE, TN 37232(615) 343-6642 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Apr 21, 2022 (2 updates tracked since 2022).

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About Fitz Gerald Iheanyichukwu Diala NPPES

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

FITZ GERALD IHEANYICHUKWU DIALA (NPI 1639813041) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Maryland (D0106769) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639813041

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameFITZ GERALD IHEANYICHUKWU DIALA

Location Address1161 21ST AVE S, D-4311 MCNNashville, TN 37232

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266

Phone(615) 343-6642

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 21, 2022

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1639813041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MD · D0106769

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1161 21ST AVE S, Nashville, TN 37232

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fitz Gerald Iheanyichukwu Diala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628450277

PECOS Enrollment IDI20260523000334

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.