Individual provider Active NPI

John Anthony Dieck Jr., M.D.

  • Cardiovascular Disease Physician
  • Austin, TX
National Provider Identifier
1427059310
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G8081 Issued in TX
Practice address
4316 James Casey St
Building a
Austin, TX 78745-1157
Phone
(512) 623-5300
Fax
(512) 623-5399
NPI assigned
Aug 2, 2005
Last updated
Jun 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G8081 TX Primary

Addresses

Primary practice location

4316 James Casey St
Building a
Austin, TX 78745-1157

Mailing address

PO Box 1509
San Antonio, TX 78295-1509
Phone (512) 623-5300

Other identifiers 7

IdentifierTypeStateIssuer
131632507MedicaidTX
131632508MedicaidTX
P00706404OtherTXRAILROAD MEDICARE
060012108OtherTXMEDICARE RAILROAD
P00700180OtherTXMEDICARE RAILROAD
8BX076OtherTXBCBSTX
131632501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080819000949 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 3375538416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Advanced Heart Failure and Transplant Cardiology
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

4316 James Casey St
Austin, TX 78745-1116
Phone (512) 623-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Texas Cardiovascular Consultants, PA Cardiovascular Disease Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1015 E 32nd St
Ste 508
Austin, TX 78705
Phone (512) 480-3147

12221 N Mopac Expy
#D
Austin, TX 78758
Phone (513) 901-2503

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

4316 James Casey St
Austin, TX 78745
Phone (512) 341-6414

4316 James Casey St
Ste A
Austin, TX 78745
Phone (512) 481-1408

4316 James Casey St
Ste C
Austin, TX 78745
Phone (512) 381-0170

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

1253 N Von Minden St
La Grange, TX 78945
Phone (979) 968-8493

Interoperability endpoints

  • Direct secure messaging: 134-dieck-john@direct.leadingreach.com
  • Direct secure messaging: 13660-dieck-john@direct.leadingreach.com

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 5

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1427059310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782951509",
            "telephone_number": "512-623-5300",
            "fax_number": "512-623-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BUILDING A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451157",
            "telephone_number": "512-623-5300",
            "fax_number": "512-623-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIECK",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G8081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131632507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131632508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00706404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060012108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00700180",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8BX076",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131632501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.