Individual provider Active NPI

Joyce A Dietrich, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1902844962
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D57257 Issued in MD
Practice address
4924 Campbell Blvd
Suite 200
Baltimore, MD 21236-5908
Phone
(443) 442-2300
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D57257 MD
Pediatrics Physician 208000000X D57257 MD
Family Medicine Physician 207Q00000X D57257 MD Primary

Addresses

Primary practice location

4924 Campbell Blvd
Suite 200
Baltimore, MD 21236-5908

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803

Other identifiers 1

IdentifierTypeStateIssuer
690401700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080328000703 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648356790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Lifebridge Sports Medicine and Rehabilitation LLCGroup PAC ID 4385787910, shared by 2 NPIs, 25 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

4924 Campbell Blvd
Suite 200
Baltimore, MD 21236-5914
Phone (443) 442-2300

519 Bayview Blvd
Baltimore, MD 21224-2825
Phone (443) 335-6910

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 10, 2009 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Aug 10, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins Community Physicians, Inc Family Medicine Past Accepting new patients

Locations

3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

4924 Campbell Blvd
Ste 200
Nottingham, MD 21236
Phone (443) 442-2300

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: jdietrich6867@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1902844962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD",
            "address_2": "SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365908",
            "telephone_number": "443-442-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "JOYCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D57257",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D57257",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D57257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690401700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.