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TONY DIAZ D.O.
NPI 1962406751
Orthopaedic Surgery - Sports Medicine in Hialeah, FL

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016(305) 822-0401(305) 824-1748 Get Directions Write a Review

NPPES record last updated: December 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tony Diaz D.o. NPPES

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

TONY DIAZ D.O. (NPI 1962406751) is an individual sports medicine provider in Hialeah, Florida, licensed in Florida (OS6699) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1962406751
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameTONY DIAZCredential: D.O.
Location Address7100 W 20TH AVE, STE 101Hialeah, FL 33016-1897
Mailing Address7100 W 20th Ave, Ste 101Hialeah, FL 33016-1897 · (305) 822-0401 · Fax (305) 824-1748
Phone(305) 822-0401
Fax(305) 824-1748
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 9, 2005
Last NPPES UpdateDecember 6, 2009
✔ NPI 1962406751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · OS6699
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
7100 W 20TH AVE, Hialeah, FL 33016
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Other Identifiers 9

Other47987FL · Bcbs
Other3395788FL · Aetna Hmo
Medicare UPINH66029FL
Medicaid264540800FL
Other591272217FL · Humana
Other7708523FL · Aetna Ppo
Other288361FL · Avmed
Other046716FL · Neighborhood Health
Medicare ID-Type UnspecifiedE7700Z

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tony Diaz D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214071430
PECOS Enrollment IDI20100414000771
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
72 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
48 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
28 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
44%1,194 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
12%4,244 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
64%3,513 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
24%1,194 patients2/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
1%956 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RENE GUERRA MD PL
Internal Medicine
7100 W 20TH AVE, SUITE G166
HIALEAH, FL 33016
Miami-Dade County (786) 399-9742
STEVEN FIELDS MD PA
Internal Medicine
7100 W 20TH AVE, SUITE 311
HIALEAH, FL 33016
Miami-Dade County (305) 823-2886
INA WINDERMAN R.P.T.
Physical Therapist
7100 W 20TH AVE, SUITE 101
HIALEAH, FL 33016
Miami-Dade County (305) 822-0401
DR. ISRAEL JONATHAN TCHABAN M.D., S.A.
Physician Assistant (Surgical)
7100 W 20TH AVE
HIALEAH, FL 33016
Miami-Dade County (305) 823-9120
HERNANDO ALVAREZ MD PA
General Acute Care Hospital
7100 W 20TH AVE, SUITE 803
HIALEAH, FL 33016
Miami-Dade County (305) 556-3122
ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.
Internal Medicine (Gastroenterology)
7100 W 20TH AVE, SUITE 301
HIALEAH, FL 33016
Miami-Dade County (305) 556-3727
DR. JOSE F FONT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7100 W 20TH AVE, STE 806
HIALEAH, FL 33016
Miami-Dade County (305) 557-3212
DR. LUIS RAIMUNDO PAGAN MD
Neurological Surgery
7100 W 20TH AVE, SUITE G-176
HIALEAH, FL 33016
Miami-Dade County (305) 826-3366

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 Tony Diaz's NPI number?

The NPI number for Tony Diaz is 1962406751. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Tony Diaz located?

Tony Diaz practices at 7100 W 20th Ave Ste 101, Hialeah, FL 33016. The listed phone number is (305) 822-0401.

What is Tony Diaz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Tony Diaz enrolled in Medicare?

Yes. Tony Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tony Diaz accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Tony Diaz 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.

Is Tony Diaz affiliated with any hospitals?

According to CMS data, Tony Diaz is affiliated with Larkin Community Hospital Palm Springs Campus and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Tony Diaz was last updated on December 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.