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Deactivated NPI 1013089028 Deactivated / Inactive NPI Male Practitioner

Dr. Taha Dias , MD

Internal Medicine • Melbourne, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Taha Dias has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date September 28, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Taha Dias, MD was a registered Internal Medicine practicing in Melbourne, FL. Throughout an active medical career spanning 13 years, Dr. Dias provided care at the practice location at 1270 N WICKHAM RD STE 9 until profile deactivation on 2019-09-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1270 N Wickham Rd Ste 9

Melbourne, FL 329358300

Telephone 3215672211
Associated Practice Facility / Clinic
🏢 Medec Medical Care Pllc Facility NPI 1386234268

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
90 Specialists

Practicing in Melbourne, FL (10650 Statewide)

Telehealth Adoption Rate
37.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 11 $292.00 $126.16

Medical Specialties & State Licenses

CMS Verified: 2024-12-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME96911

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
276868200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Qazim Salia , PA

Family Medicine

NPI 1972930717

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 11, 2024

Registered at 1270 N WICKHAM RD STE 9, MELBOURNE, FL 329358300 (Tel: 3215672211)

📍
Updated Practice Location November 05, 2019

Registered at 4112 ISLAND LAKES DR, WINTER HAVEN, FL 33881 (Tel: 8635948354)

📍
Updated Business Mailing Address November 05, 2019

Registered at 4112 ISLAND LAKES DR, WINTER HAVEN, FL 338815605 (Tel: 8635948354)

👤
Provider Name / Credentials Updated November 05, 2019

Recorded as TAHA DIAS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Internal Medicine (License #ME96911 in FL)

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NPI Profile Deactivated September 28, 2019

Record deactivated on September 28, 2019

📍
Updated Practice Location August 20, 2019

Registered at 4112 ISLAND LAKES DR, WINTER HAVEN, FL 33881 (Tel: 8635948354)

📍
Updated Business Mailing Address August 20, 2019

Registered at 4112 ISLAND LAKES DR, WINTER HAVEN, FL 338815605 (Tel: 8635948354)

NPI Profile Active September 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2015

Registered at 4315 HIGHLAND PARK BLVD, LAKELAND, FL 338131639 (Tel: 8635165884)

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Updated Business Mailing Address September 29, 2015

Registered at 4315 HIGHLAND PARK BLVD, STE A, LAKELAND, FL 338131639 (Tel: 8635165884)

👤
Provider Name / Credentials Updated September 29, 2015

Recorded as TAHA DIAS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2015

Internal Medicine (License #ME96911 in FL)

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Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013089028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: December 11, 2024
Deactivation Date: September 28, 2019
Sole Proprietor: No

Mailing Address

4112 Island Lakes Dr

Winter Haven, FL 338815605

Phone: 8635948354

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.