Kimi San Miguel Diaz, MS, PA-C
NPI 1114632510 · Physician Assistant · Peabody, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimi San Miguel Diaz, MS, PA-C is a Physician Assistant provider in Peabody, MA (NPI 1114632510).
Provider details
- NPI number
- 1114632510
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS, PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$100 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Kimi San Miguel Diaz's NPI number?
- Kimi San Miguel Diaz's National Provider Identifier (NPI) is 1114632510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimi San Miguel Diaz's specialty?
- Kimi San Miguel Diaz is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimi San Miguel Diaz located?
- Kimi San Miguel Diaz's practice location on file with NPPES is 300 Jubilee Dr, Peabody, MA 01960-4068.
- What is Kimi San Miguel Diaz's phone number?
- The practice phone number listed in the NPPES registry for Kimi San Miguel Diaz is (978) 513-7588.
- Does Kimi San Miguel Diaz accept Medicare?
- Kimi San Miguel Diaz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimi San Miguel Diaz's NPI active?
- Yes — Kimi San Miguel Diaz's NPI (1114632510) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.