Active NPI
Dietrich Von Feldmann, M.D.
- Gastroenterology Physician
- Sparks, NV
National Provider Identifier
1346354917
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12002
- Practice address
- 2345 E Prater Way
Sparks, NV 89434-9600 - Phone
- (775) 336-2777
- Fax
- (775) 336-2803
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12002 | NV | Primary |
Addresses
Primary practice location
2345 E Prater Way
Sparks, NV 89434-9600
Mailing address
2345 E Prater Way Ste 304
Sparks, NV 89434-9639
Phone (775) 336-2777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12002 | Other | NV | MEDICAL LICENSE |
| MD00013637 | Other | WA | MEDICAL LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12002 | NV | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred J Fricke MD and Associates | Gastroenterology | Past | Accepting new patients |
Interoperability endpoints
- vonfeldman@yourcarecommunity.org
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.
-
- Gastroenterology Physician
- Elko, NV
- NPI 1689699571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1346354917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 E PRATER WAY STE 304",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349639",
"telephone_number": "775-336-2777",
"fax_number": "775-336-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E PRATER WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349600",
"telephone_number": "775-336-2777",
"fax_number": "775-336-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON FELDMANN",
"first_name": "DIETRICH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "12002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12002",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD00013637",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.