Tracey Crothers Didinger, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

DR.0060785 Issued in CO

Practice address

1200 N. State Street
GNH 3900
Los Angeles, CA 90033

Phone

(323) 226-7346

NPI assigned

May 6, 2014

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tracey Michelle Crothers Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Golden State Bone and Joint ClinicGroup PAC ID 4789842972, 3 clinicians

Kushagra Verma MDGroup PAC ID 4183058993, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden State Bone and Joint Clinic

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1508139957
  Medicare reassignment Care Compare group NPD
• Kushagra Verma MD

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
  • NPI 1831733955
  Medicare reassignment Care Compare group NPD
• Shahin S. Rad, M.D. PC

  dba Los Angeles Bone and Joint Institute

  • Orthopaedic Surgery Physician
  • Encino, CA
  • NPI 1801265673
  Medicare reassignment NPD
• William B Stetson M D a Professional Corporation

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1053457010
  Medicare reassignment NPD
• Ada del Rivero-Yamuy Medical Corp

  dba Hughes Avenue Family Medical Center

  • Primary Care Clinic/Center
  • Culver City, CA
  • NPI 1760690200
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1023428414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. STATE STREET",
            "address_2": "GNH 3900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-7346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N. State Street",
            "address_2": "GNH 3900",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900339312",
            "country_code": "US",
            "telephone_number": "323-226-7346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N. State Street",
            "address_2": "GNH 3900",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900339312",
            "country_code": "US",
            "telephone_number": "323-226-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDINGER",
        "first_name": "TRACEY",
        "middle_name": "CROTHERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A135500",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "DR.0060785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "CROTHERS",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Didi Hirsch Psychiatric Service
• Didi Hirsch Psychiatric Service
• Didi Hirsch Psychiatric Service
• Didi Hirsch Psychiatric Service
• Didi Hirsch Psychiatric Service
• Paul Didomenico, M.D.
• Matthew David Diebler, AMFT
• Tuan Cam Diec, ADMIN ASSISTANT
• Haley Diedrick, DNP, RN, CPNP-PC
• Pamela Nanette Diefenbach, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.