NPIMap

Individual provider Active NPI

Aaron L Dietrich, DO

  • Family Medicine Physician
  • Lake Katrine, NY
National Provider Identifier
1033174362
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208411-1 Issued in NY
Practice address
315 Grant Ave Ste 2
Lake Katrine, NY 12449-5342
Phone
(845) 409-0064
Fax
(845) 237-5691
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208411-1 NY Primary

Addresses

Primary practice location

315 Grant Ave Ste 2
Lake Katrine, NY 12449-5342

Mailing address

315 Grant Ave Ste 2
Lake Katrine, NY 12449-5342
Phone (845) 706-0773

Other identifiers 1

IdentifierTypeStateIssuer
01951399MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000809 NY Practitioner - Family Practice 7517130412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Foxhall Ave
Kingston, NY 12401-5107
Phone (845) 338-1535

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208411-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Heart Specialists PC CurrentSince Sep 1, 2014 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 15, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 15, 2019 Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

111 Clock Tower Cmns
#22
Brewster, NY 10509

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

822 Main St
Ste 330
Hopewell Junction, NY 12533
Phone (845) 592-0681

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

27 Grand St
Kingston, NY 12401
Phone (845) 338-1535

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: aaron.dietrich@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: dietricha@hiemail.healtheconnections.org

Organizations & group practices 5

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1033174362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GRANT AVE STE 2",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495342",
            "telephone_number": "845-706-0773",
            "fax_number": "845-237-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GRANT AVE STE 2",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495342",
            "telephone_number": "845-409-0064",
            "fax_number": "845-237-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "AARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208411-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

Verify at the official NPI Registry.