Individual provider Active NPI

Louis A Dieffenbach, M.D.

  • Obstetrics & Gynecology Physician
  • Spring Hill, FL
National Provider Identifier
1699784587
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME55252 Issued in FL
Practice address
13215 Spring Hill Dr
Spring Hill, FL 34609-5054
Phone
(352) 683-0232
Fax
(352) 683-0247
NPI assigned
Aug 7, 2006
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME55252 FL Primary

Addresses

Primary practice location

13215 Spring Hill Dr
Spring Hill, FL 34609-5054

Mailing address

13215 Spring Hill Dr
Spring Hill, FL 34609-5054
Phone (352) 683-0232

Other identifiers 1

IdentifierTypeStateIssuer
593287415OtherFLOBGYN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040207000018 FL Practitioner - Obstetrics/Gynecology 9537052030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13215 Spring Hill Dr
Spring Hill, FL 34609-5054

13215 Springhill Dr
Springhill, FL 34609-5054

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Professional Health Services Inc Obstetrics & Gynecology CurrentSince Jun 5, 1989 Accepting new patients

Locations

13215 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 683-0232

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

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1699784587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095054",
            "telephone_number": "352-683-0232",
            "fax_number": "352-683-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095054",
            "telephone_number": "352-683-0232",
            "fax_number": "352-683-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFFENBACH",
        "first_name": "LOUIS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME55252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBGYN",
            "identifier": "593287415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.