Kathlyn Diefenderfer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00023919 Issued in AL

Practice address

101 Professional LN
Enterprise, AL 36330-2085

Phone

(334) 347-3404

Fax

(334) 393-0613

NPI assigned

Jul 24, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

University of South Alabama College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Troy Regional Physicians IncGroup PAC ID 1850587361, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Troy Regional Medical Center Home Health Home health agency, Troy, AL, CCN 017096
• Troy Regional Medical Center Hospital, Troy, AL, CCN 010126
• Troy Regional Medical Center Nursing home, CCN 01U126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• First Choice Hospice, LLC

  dba ACG Hospice

  • Community Based Hospice Care Agency
  • Andalusia, AL
  • NPI 1578704094

  Contracted Managing Employee

  CMS ownership
• First Choice Hospice, LLC

  dba ACG Hospice

  • Community Based Hospice Care Agency
  • Elba, AL
  • NPI 1821033200

  Contracted Managing Employee

  CMS ownership

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.

• Troy Regional Physicians Inc

  dba Surgeons At Troy Regional Physicians Inc.

  • Specialist
  • Troy, AL
  • NPI 1003124421
  Medicare reassignment Care Compare group NPD
• Houston County Healthcare Authority

  dba Samc-Enterprise Medical Clinic

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606
  Medicare reassignment NPD
• Northern Alabama Physicians, LLP

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1669618310
  Medicare reassignment NPD
• Troy Hospital Health Care Authority

  dba Troy Hospital Regional Physicians

  • Family Medicine Physician
  • Troy, AL
  • NPI 1275840779

  Internal Medicine

  Medicare reassignment NPD
• Keystone Hospitalist Services of Alabama, Inc.

  • Hospitalist Physician
  • Troy, AL
  • NPI 1275478232
  Medicare reassignment
• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center Medical Clinics

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349
  NPD
• Northern Alabama Physicians, LLP

  • Hospitalist Physician
  • Enterprise, AL
  • NPI 1952845711
  NPD
• Troy Regional Physicians Inc.

  dba Pediatrics at Troy Regional Physicians Inc.

  • Clinic/Center
  • Troy, AL
  • NPI 1871802694
  NPD
• Troy Hospital Health Care Authority

  dba Troy Regional Medical Center

  • Rural Acute Care Hospital
  • Troy, AL
  • NPI 1770814626
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Lxiv, LLC

  dba Troy Regional Medical Center Home Health

  • Home Health Agency
  • Troy, AL
  • NPI 1700287497
  Care Compare affiliation
• Troy Hospital Health Care Authority

  dba Troy Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Troy, AL
  • NPI 1437480159

  Nursing home

  Care Compare affiliation
• Troy Hospital Health Care Authority

  dba Troy Regional Medical Center

  • Rural Acute Care Hospital
  • Troy, AL
  • NPI 1770814626
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1780606426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL LN",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302085",
            "telephone_number": "334-793-8087",
            "fax_number": "334-393-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL LN",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302085",
            "telephone_number": "334-347-3404",
            "fax_number": "334-393-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFENDERFER",
        "first_name": "KATHLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00023919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51502734",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009957070",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates of Dothan, LLC
• Douglas W Devore, O.D.
• Andrea Darlene S. Dezso, LLISW
• Dialogue Therapy Services, LLC
• Dialysis Clinic Inc.
• Todd Diefenderfer, PTA
• Dobbs Eye Clinic P.a.
• James A Dobbs, O.D.
• Brandy Donaldson, PHARM. D.
• Dothan Pediatric Clinic, P. a. (Enterprise Pediatric Clinic)

• Internal Medicine Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.