Dinusha W Dietrich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD10951 Issued in RI

Practice address

7 Smith Ave Ste 103
Greenville, RI 02828-1700

Phone

(401) 231-3138

Fax

(401) 231-4757

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Smithfield Pediatrics

  • Pediatrics Physician
  • Greenville, RI
  • NPI 1346411592
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1073547030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SMITH AVE STE 103",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281700",
            "telephone_number": "401-231-3138",
            "fax_number": "401-231-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SMITH AVE STE 103",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281700",
            "telephone_number": "401-231-3138",
            "fax_number": "401-231-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DINUSHA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD10951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD47929",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddietrich@direct.carene.org",
            "affiliation": "Y",
            "affiliationName": "Smithfield Pediatrics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7 Smith Ave Ste 103",
            "city": "Greenville",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028281700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Desantis, COTA/L
• Diabetes Care Solutions, LLC
• Diabetes Care Solutions, LLC
• Lauren Anne Diblasi-Amaral, MS,OTR/L
• Renee Drolet Dicenso, RN, MED, CSNT, CDOE
• Adriana Maria Digiuseppe
• Adam Dinitto
• Distinctive Dentistry
• DRS Fogarty & Pliakas LTD
• Jennifer L Dyl, PHD

• Pediatrics Physician in Greenville, RI
• Providers in Greenville, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.