Individual provider Active NPI

Courtenay L Diehl, MD

  • Obstetrics Physician
  • Batavia, NY
National Provider Identifier
1306858188
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
253736-1 Issued in NY
Practice address
33 Chandler Ave
Batavia, NY 14020-1684
Phone
(585) 344-4700
Fax
(585) 344-5454
NPI assigned
Aug 12, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 48600 MN
Obstetrics Physician 207VX0000X 253736-1 NY Primary

Addresses

Primary practice location

33 Chandler Ave
Batavia, NY 14020-1684

Mailing address

33 Chandler Ave
Batavia, NY 14020-1684
Phone (585) 344-4700

Other identifiers 1

IdentifierTypeStateIssuer
03124816MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdiehl@ummc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090911000360 NY Practitioner - Obstetrics/Gynecology 7618971250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

11225 Maple Ridge Rd
Medina, NY 14103-1845
Phone (585) 343-9676

229 Summit St
Batavia, NY 14020-1645

33 Chandler Ave
Batavia, NY 14020-1684
Phone (585) 343-9676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253736-1NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Jul 1, 2011 Accepting new patients
United Memorial Medical Center CurrentSince Jul 1, 2011 Accepting new patients
United Memorial Medical Center Past Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

33 Chandler Ave
Batavia, NY 14020
Phone (585) 343-9676

11225 Maple Ridge Rd
Medina, NY 14103
Phone (585) 798-2865

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: cdiehl@ummc.org
  • Direct secure messaging: cdiehl214795@direct.rochesterregional.org

Organizations & group practices 3

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 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1306858188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHANDLER AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201684",
            "telephone_number": "585-344-4700",
            "fax_number": "585-344-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHANDLER AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201684",
            "telephone_number": "585-344-4700",
            "fax_number": "585-344-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "COURTENAY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MN",
            "license": "48600",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "253736-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124816",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdiehl@ummc.org",
            "affiliation": "N",
            "address_1": "33 Chandler Ave",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140201684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.