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MARCIA CELESTE DIAZ PARDAVE MD
NPI 1912696212
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 02, 2023PECOS Enrolled
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202(317) 962-8893(317) 962-5479 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, May 2, 2023 (2 updates tracked since 2023).

About Marcia Celeste Diaz Pardave Md NPPES

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

MARCIA CELESTE DIAZ PARDAVE MD (NPI 1912696212) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912696212
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARCIA CELESTE DIAZ PARDAVECredential: MD
Location Address1040 WISHARD BLVDIndianapolis, IN 46202-2872
Mailing Address1040 Wishard BlvdIndianapolis, IN 46202-2872 · (317) 962-8893 · Fax (317) 962-5479
Phone(317) 962-8893
Fax(317) 962-5479
Sole ProprietorNo
Enumeration DateMay 2, 2023
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1912696212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1040 WISHARD BLVD, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcia Celeste Diaz Pardave 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.

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.

RUBEN HERNAN HERNANDEZ MONDRAGON MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. ZACHARY COLE WAGNER DO
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD, DUNLAP BUILDING
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
ANIKA TAHSIN SHAFIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LEA FEGHALI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
MAITE BASTYR MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-4634
NICHOLAS REDILLA III
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ALLISON MARIE TANN NP
Nurse Practitioner (Family)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. AXELLE MAYODE ATCHADE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090

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 Marcia Diaz Pardave's NPI number?

The NPI number for Marcia Diaz Pardave is 1912696212. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Marcia Diaz Pardave located?

Marcia Diaz Pardave practices at 1040 Wishard Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-8893.

What is Marcia Diaz Pardave's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marcia Diaz Pardave enrolled in Medicare?

Yes. Marcia Diaz Pardave is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marcia Diaz Pardave was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.