Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013967512 Individual Practitioner Male Practitioner

Dr. John Joseph Corrales-Diaz , MD

Pediatrics • Poulsbo, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Corrales-Diaz, MD is a registered healthcare professional specializing in Pediatrics in Poulsbo, WA. Practice services are available at 19245 7TH AVE NE under active NPI credentials.

Frequently performed procedures and clinical services include administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19245 7th Ave Ne

Poulsbo, WA 983706551

Telephone 3607823500
Fax 3607823540
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Poulsbo, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Poulsbo, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% 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 (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0008 Administration of influenza virus vaccine
30 30 $60.00 $17.02
90662 Influenza vaccine split virus, preservative free
29 29 $151.00 $60.98

Medical Specialties & State Licenses

CMS Verified: 2023-03-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00021573

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1000428 (WA)
Commercial Insurance / Payer ID Regence Blue Shield
CO7915
Commercial Insurance / Payer ID Aetna
4586742

Practice Associates & Co-Workers

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

23 Associated Practitioners
Kerry Murray , LMT

Massage Therapist

NPI 1063529329

Licensed Massage Therapist

Dr. Patrick Tracy , MD

Family Medicine

NPI 1073541587

Doctor of Medicine (M.D.)

Jesse Fenger , PA-C

Physician Assistant

NPI 1083798532

Physician Assistant (Certified)

Kristin Smith , APN

Advanced Practice Midwife

NPI 1174718233

Advanced Practice Nurse

Shannon Vitone

Pediatrics

NPI 1184150443
NPI 1205414737

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

16 Historical Events
👤
Provider Name / Credentials Updated March 06, 2023

Recorded as JOHN CORRALES-DIAZ, MD

📍
Updated Practice Location January 10, 2023

Registered at 19245 7TH AVE NE, POULSBO, WA 983706551 (Tel: 3607823500)

📍
Updated Business Mailing Address January 10, 2023

Registered at 19245 7TH AVE NE, POULSBO, WA 983706551 (Tel: 3607823500)

📍
Updated Practice Location March 16, 2021

Registered at 450 S KITSAP BLVD STE 250, PORT ORCHARD, WA 983663739 (Tel: 3607823000)

📍
Updated Business Mailing Address March 16, 2021

Registered at 450 S KITSAP BLVD STE 250, PORT ORCHARD, WA 983663739 (Tel: 3607823000)

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 06, 2017

Registered at 9621 RIDGETOP BLVD NW, SILVERDALE, WA 983838502 (Tel: 3607823661)

📍
Updated Practice Location September 06, 2017

Registered at 450 S KITSAP BLVD, BLDG. 1, SUITE 250, PORT ORCHARD, WA 983663773 (Tel: 3607823000)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as JOHN CORRALES-DIAZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Pediatrics (License #MD00021573 in WA)

NPI Profile Active January 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2009

Registered at 450 S KITSAP BLVD, BLDG. 1, SUITE 250, PORT ORCHARD, WA 983663773 (Tel: 3607823000)

📍
Updated Business Mailing Address January 14, 2009

Registered at 2512 WHEATON WAY, BREMERTON, WA 983103399

👤
Provider Name / Credentials Updated January 14, 2009

Recorded as JOHN CORRALES-DIAZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2009

Pediatrics (License #MD00021573 in WA)

🟢
Initial NPI Registration & Enumeration May 12, 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: 1013967512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: March 06, 2023
Sole Proprietor: No

Mailing Address

19245 7th Ave Ne

Poulsbo, WA 983706551

Phone: 3607823500

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.