Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Isaiah Diaz, PA-C

Individual provider Physician Assistant · NPI 1366175754

Michael Isaiah Diaz, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
4
Licensed in
MA, NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1468 Madison Ave, New York, NY 10029-6508 — (212) 241-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8901 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 028796 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1366175754
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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