Richard F. Dietrick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD031249E Issued in PA

Practice address

333 Cottman Avenue
Fox Chase Cancer Center
Philadelphia, PA 19111

Phone

(215) 728-6900

Fax

(215) 214-1425

NPI assigned

Jan 23, 2006

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Emergency Medicine

Education

Temple University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roxborough Medical of Andorra LLCGroup PAC ID 0941520670, 7 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roxborough Medical of Andorra LLC

  dba Roxborough Express Care

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1134511157
  Medicare reassignment Care Compare group
• Drexel University

  dba Drexel Psychology

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095
  Medicare reassignment NPD
• Drexel University

  dba Pennsylvania Ear Institute

  • Audiologist
  • Elkins Park, PA
  • NPI 1104822253
  NPD
• Drexel University

  dba Drexel Vascular Surgery

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1902900939
  NPD
• Chestnut Hill Emergency Associates LTD

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1588628176
  NPD (past)
• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  NPD (past)
• Health Services of Fox Chase Cancer Center

  dba Dermatology Associates of FCCC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1144338351
  NPD (past)
• Health Services of Fox Chase Cancer Center

  dba Gynecological Oncology Associates of FCCC

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1568564821
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1336129527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "address_2": "MEDICAL STAFF OFFICE/ENROLLMENT",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "19111",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "address_2": "FOX CHASE CANCER CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICK",
        "first_name": "RICHARD",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031249E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1180600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phat Hong Diep
• Tran Diep, PHARMD
• Anvi A. Dietrich, DMD
• Ian Scott Dietrich, DPT
• Suzanna Dietrich
• Paige M Dietz, RDN
• Thomas William Dietzman, M.D.
• Jaclyn Dietzold, M.D.
• Marta Diez-Caballero Sernandez, MD
• Sarah M Difebo

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.