Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IZADORA IZIDORO DIEHL MD
NPI 1780189902
General Practice in Sarasota, FL

Active since March 28, 2018PECOS Enrolled
6405 INITIATIVE BLVD, SARASOTA, FL 34240(941) 241-3462(808) 427-9892 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Nov 17, 2023, Feb 20, 2023 and 3 more (6 updates tracked since 2018).

About Izadora Izidoro Diehl Md NPPES

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

IZADORA IZIDORO DIEHL MD (NPI 1780189902) is an individual general practice provider in Sarasota, Florida, licensed in Florida (ME165428) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780189902
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameIZADORA IZIDORO DIEHLCredential: MD
Location Address6405 INITIATIVE BLVDSarasota, FL 34240-1249
Mailing Address9040 Town Center PkwyLakewood Ranch, FL 34202-4101 · (941) 241-3462 · Fax (808) 427-9892
Fax(808) 427-9892
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateSeptember 30, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1780189902 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 · ME165428✔ Licensed in NC · 2020-00312
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
6405 INITIATIVE BLVD, Sarasota, FL 34240

Other Names 1

Former Name (1)Izadora Porto Izidoro

Secondary Practice Locations 3

Location 14164 Deerfield Dr NWConcord, NC 28027-4508 · Phone (770) 375-7568 · Fax (808) 427-9892
Location 24700 Millenia Blvd Ste 175Orlando, FL 32839-6015 · Phone (770) 375-7568
Location 39040 Town Center PkwyLakewood Ranch, FL 34202-4101 · Phone (941) 241-3462

Other Identifiers 2

Other2020-00312NC · License # By North Carolina Medical Board
OtherME165428FL · License # By Florida Medical Board

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)

Izadora Izidoro Diehl 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.

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 Izadora Diehl's NPI number?

The NPI number for Izadora Diehl is 1780189902. It was assigned to this individual provider in the NPPES registry on March 28, 2018. The provider is also known as Izadora Porto Izidoro.

Where is Izadora Diehl located?

Izadora Diehl practices at 6405 Initiative Blvd, Sarasota, FL 34240. The listed phone number is (941) 241-3462.

What is Izadora Diehl's specialty?

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

Is Izadora Diehl enrolled in Medicare?

Yes. Izadora Diehl is registered in the Medicare PECOS enrollment system.

What insurance does Izadora Diehl accept?

Health plans from 22 Health list Izadora Diehl 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 Izadora Diehl was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.