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Deactivated NPI 1740232925 Deactivated / Inactive NPI Female Practitioner

Dr. Grisel Rodriguez-Diaz , MD

General Practice • Wagner, SD

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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. Grisel Rodriguez-Diaz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date February 27, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Grisel Rodriguez-Diaz, MD was a registered General Practice practicing in Wagner, SD. Throughout an active medical career spanning 13 years, Dr. Rodriguez-Diaz provided care at the practice location at 111 WASHINGTON AVE NW until profile deactivation on 2019-02-27.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, established patient outpatient office visit, automated urinalysis test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

111 Washington Ave Nw

Wagner, SD 573804300

Telephone 6053843621
Fax 6053845229
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wagner, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Wagner, SD (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.6% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
66 34 $15.00 $2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
55 33 $338.40 $100.27
81003 Automated urinalysis test
46 27 $13.00 $3.02
80048 Blood test, basic group of blood chemicals (calcium, total)
26 17 $45.04 $9.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
26 17 $41.39 $10.45
83036 Hemoglobin A1C level
25 17 $51.67 $12.51
82947 Blood glucose (sugar) level
25 16 $20.87 $3.85
84460 Liver enzyme (sgpt), level
13 11 $28.16 $3.20

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 15499

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

37 Associated Practitioners
NPI 1043230949

Registered Pharmacist

Susan Knudsen , RN

Registered Nurse

NPI 1073720439

Registered Nurse

Barbara Slaba , RN

Registered Nurse

NPI 1073721510

Registered Nurse

Vicki Thaler , RN

Registered Nurse

NPI 1104033000

Registered Nurse

Amy Hoilien , RN

Registered Nurse

NPI 1205043171

Registered Nurse

NPI 1205234481

Pharmacist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 27, 2019

Record deactivated on February 27, 2019

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2011

Registered at 111 WASHINGTON AVE NW, WAGNER, SD 573804300 (Tel: 6053843621)

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Updated Business Mailing Address October 24, 2011

Registered at 111 WASHINGTON AVE NW, WAGNER, SD 573804300 (Tel: 6053843621)

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Provider Name / Credentials Updated October 24, 2011

Recorded as GRISEL RODRIGUEZ-DIAZ, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

General Practice (License #15499 in PR)

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Initial NPI Registration & Enumeration May 16, 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: 1740232925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: October 24, 2011
Deactivation Date: February 27, 2019

Mailing Address

111 Washington Ave Nw

Wagner, SD 573804300

Phone: 6053843621

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.