DR. ELIZABETH ROSE MACKDIAZ MD
NPI 1821433467
Pediatrics - Pediatric Critical Care Medicine in Charleston, SC

Q: What is Elizabeth Mackdiaz's NPI number?

The NPI number for Elizabeth Mackdiaz is 1821433467. It was assigned to this individual provider in the NPPES registry on May 9, 2013. The provider is also known as Dr. Elizabeth Rose Diaz MD.

Q: What is Elizabeth Mackdiaz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since May 09, 2013PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, Mar 24, 2021, Aug 26, 2019 (3 updates tracked since 2019).

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About Dr. Elizabeth Rose Mackdiaz Md NPPES

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

DR. ELIZABETH ROSE MACKDIAZ MD (NPI 1821433467) is an individual pediatric critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (84290) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821433467

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ELIZABETH ROSE MACKDIAZCredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-7710

Mailing Address125 Doughty St Msc 917Charleston, SC 29425-5736 · (843) 792-8315

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateMay 9, 2013

Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration

NPPES CertifiedOctober 12, 2021

✔ NPI 1821433467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in SC · 84290

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

171 ASHLEY AVE, Charleston, SC 29425

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Other Names 1

Former Name (1)Dr. Elizabeth Rose Diaz Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Rose Mackdiaz 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Mackdiaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates Of The Medical University Of South Carol

Same address

Obstetrics & Gynecology

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
2,594 clinicians in this Medicare group

NPI 1013934629 (843) 792-1414

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

Other Providers at the Same Location NPPES 20

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

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