Active NPI
Edward John Diekhoff, MD
- Surgery Physician
- Greenwood, IN
National Provider Identifier
1770530941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01039037A
- Practice address
- 1375 W Smith Valley Rd
Greenwood, IN 46142-1540 - Phone
- (317) 859-6950
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01039037A | IN | Primary |
Addresses
Primary practice location
1375 W Smith Valley Rd
Greenwood, IN 46142-1540
Mailing address
1375 W Smith Valley Rd
Greenwood, IN 46142-1540
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000351070 | Other | IN | ANTHEM ID |
| P00171329 | Other | IN | MEDICARE RAILROAD ID |
| 200019310 | Medicaid | IN | |
| 4218208 | Other | IN | AETNA ELIGIBILITY ID |
| 000000001722 | Other | IN | MDWISE/PRO HEALTH ID |
| 10813894 | Other | IN | CAQH ID |
| P01157057 | Other | IN | RR MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ediekhoff30125@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2890
Hospital & facility affiliations
- Community Hospital South, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039037A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- ediekhoff30125@ecommunitydirect.com
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1770530941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 W SMITH VALLEY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 W SMITH VALLEY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421540",
"telephone_number": "317-859-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEKHOFF",
"first_name": "EDWARD",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01039037A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID",
"identifier": "000000351070",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD ID",
"identifier": "P00171329",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200019310",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ELIGIBILITY ID",
"identifier": "4218208",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDWISE/PRO HEALTH ID",
"identifier": "000000001722",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "10813894",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01157057",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ediekhoff30125@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "701 E County Line Rd",
"address_2": "Suite 201",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "46143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.