Individual provider Active NPI

Keith J Dietrick, M.D.

  • Interventional Pain Medicine Physician
  • Wellington, FL
National Provider Identifier
1144223785
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME85786 Issued in FL
Practice address
2585 South State Road 7
Ste 110
Wellington, FL 33414-9323
Phone
(561) 795-8655
Fax
(561) 795-3275
NPI assigned
May 27, 2005
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME85786 FL Primary

Addresses

Primary practice location

2585 South State Road 7
Ste 110
Wellington, FL 33414-9323

Mailing address

2585 South State Road 7
Ste 110
Wellington, FL 33414-9323
Phone (561) 795-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20041203000878 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 2668438334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Care of South Florida LLCGroup PAC ID 4082606215, 3 clinicians

Practice addresses (Care Compare)

2585 S State Rd
7 Suite 110
Wellington, FL 33414-9438
Phone (561) 795-8655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care of South Florida LLC CurrentSince Apr 12, 2010 Accepting new patients
Mobile Anesthesia Associates LLC Interventional Pain Medicine CurrentSince Feb 15, 2026 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Feb 15, 2026 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients
The Center for Pain Management Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Past Accepting new patients
Comprehensive Pain Care of S FL PastSince Apr 12, 2010 Accepting new patients

Locations

440 N State Road 7
Ste 107
Royal Palm Beach, FL 33411
Phone (561) 795-8655

458 N State Road 7
Ste 201
Royal Palm Beach, FL 33411
Phone (561) 795-8655

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

2585 S State Road 7
Ste 110
West Palm Beach, FL 33414
Phone (561) 795-8655

Interoperability endpoints

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

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1144223785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SOUTH STATE ROAD 7",
            "address_2": "STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SOUTH STATE ROAD 7",
            "address_2": "STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICK",
        "first_name": "KEITH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME85786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.