Individual provider Active NPI

Robin Z Dietly, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1629056114
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD027522E Issued in PA
Practice address
9104 Babcock Blvd
Suite 1106
Pittsburgh, PA 15237
Phone
(412) 366-6841
Fax
(412) 366-8650
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD027522E PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Suite 1106
Pittsburgh, PA 15237

Mailing address

200 Lathrop Street
Suite 9055 Forbes Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Other identifiers 2

IdentifierTypeStateIssuer
DI170691OtherPAHIGHMARK
103805800005MedicaidPA

Other names 1

  • Robin Zimmerman Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071105000040 PA Practitioner - Internal Medicine 8426145665 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027522EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Community Medicine Inc Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 1, 2007 Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

9104 Babcock Blvd
Ste 1106
Pittsburgh, PA 15237
Phone (412) 366-6841

9104 Babcock Blvd
Ste 1113
Pittsburgh, PA 15237
Phone (412) 366-7070

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1629056114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LATHROP STREET",
            "address_2": "SUITE 9055 FORBES TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087",
            "fax_number": "412-647-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 1106",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-366-6841",
            "fax_number": "412-366-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETLY",
        "first_name": "ROBIN",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD027522E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "DI170691",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103805800005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "ZIMMERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.