Thomas Rudolph Dietrich
Individual provider Active NPI Emergency Medicine Physician · Lafayette, CO
NPI 1376527432 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1376527432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DR.0040451 (CO)
- Practice address
- 280 Exempla Cir
Lafayette, CO 80026-3370 - Phone
- (303) 338-4545
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carepoint Emergency Medicine, PLLC
Practice addresses (Care Compare)
1501 S Potomac St
Medical Center of Aurora
Aurora, CO 80012-5411
Phone (303) 695-2600
9191 Grant St
Thornton, CO 80229-4361
Phone (303) 450-4482
Hospital & facility affiliations
- HCA Healthone Mountain Ridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100517000175 | CO | Practitioner - Emergency Medicine | 7214065911 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0598 | SC | MD | Endodontist |
| 40451 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Emergency Medicine, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Carepoint P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
1400 S Potomac St
Ste 110
Aurora, CO 80012
Phone (303) 745-0000
900 Potomac St
Aurora, CO 80011
Phone (303) 363-5333
1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0040451 | CO | Yes |
| Emergency Medicine Physician | 207P00000X | 40451 | CO |
Addresses
Primary practice location
280 Exempla Cir
Lafayette, CO 80026-3370
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other practice location 1
9191 Grant St.
Thornton, CO 80229-8812
Phone (303) 450-4482
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98357590 | Medicaid | CO |
Other names
- Thomas R. Dietrich
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1376527432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 EXEMPLA CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263370",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "9191 Grant St.",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802298812",
"country_code": "US",
"telephone_number": "303-450-4482",
"fax_number": "303-306-7753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIETRICH",
"first_name": "THOMAS",
"middle_name": "RUDOLPH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0040451",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "40451",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98357590",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "280 Exempla Cir",
"city": "Lafayette",
"state": "CO",
"country_code": "US",
"postal_code": "800263370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "DIETRICH",
"middle_name": "R.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lafayette, CO
- Andria Dial
- Amy Diamond
- Juanita Margarita Diaz
- Arthur J Dichard
- Danielle L Dickson
- Joshua Charles Dillard
- Stephanie Kay Dillingham
- Dillon Companies LLC
- Devin Dinecola
- Isabelle Dirksen
All providers in Lafayette, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.