Active NPI
Howard C. Deitsch, MD
- Family Medicine Physician
- Richmond, IN
National Provider Identifier
1215938600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01025101A
- Practice address
- 1130 N J St
Richmond, IN 47374-1913 - Phone
- (765) 935-3151
- Fax
- (765) 935-7487
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01025101A | IN | Primary |
Addresses
Primary practice location
1130 N J St
Richmond, IN 47374-1913
Mailing address
1130 N J St
Richmond, IN 47374-1913
Phone (765) 935-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100139380A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025101A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deitsch & Royer MD Inc | Family Medicine | Current | Accepting new patients |
Locations
1130 N J St
Richmond, IN 47374
Phone (765) 935-3151
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Richmond, IN
- NPI 1821287228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1215938600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N J ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741913",
"telephone_number": "765-935-3151",
"fax_number": "765-935-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N J ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741913",
"telephone_number": "765-935-3151",
"fax_number": "765-935-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEITSCH",
"first_name": "HOWARD",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01025101A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100139380A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.