Individual provider Active NPI

Jamie Dietze

  • Ophthalmology Physician
  • Topeka, KS
National Provider Identifier
1205395571
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0449659 Issued in KS
Practice address
3630 SW Fairlawn Rd
Topeka, KS 66614-3966
Phone
(785) 273-8080
Fax
(785) 273-2583
NPI assigned
Mar 17, 2019
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0449659 KS Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0449659 KS

Addresses

Primary practice location

3630 SW Fairlawn Rd
Topeka, KS 66614-3966

Mailing address

3630 SW Fairlawn Rd
Topeka, KS 66614-3966
Phone (785) 273-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803002471 WV Practitioner - Ophthalmology 8224403019
I20240905000764 KS Practitioner - Ophthalmology 8224403019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arla Jean Genstler MD PAGroup PAC ID 2264451350, 7 clinicians

Practice addresses (Care Compare)

3630 SW Fairlawn Rd
Topeka, KS 66614-3966
Phone (785) 273-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.88 of 100Reported as group
Quality
98.24
Improvement activities
40
Cost
75.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0449659KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arla Jean Genstler MD PA Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Retina Associates LLC Ophthalmology PastSince Aug 1, 2024 Accepting new patients

Locations

1502 Browning Pl
Manhattan, KS 66502
Phone (785) 271-2200

3630 SW Fairlawn Rd
Topeka, KS 66614
Phone (785) 273-8080

Organizations & group practices 2

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": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1205395571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SW FAIRLAWN RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666143966",
            "telephone_number": "785-273-8080",
            "fax_number": "785-273-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SW FAIRLAWN RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666143966",
            "telephone_number": "785-273-8080",
            "fax_number": "785-273-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZE",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0449659",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "KS",
            "license": "0449659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.