Individual provider Active NPI

Duane Allan Dietz, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Concord, NH
National Provider Identifier
1902872294
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
16751 Issued in NH
Practice address
248 Pleasant St Ste G100
Concord, NH 03301-2588
Phone
(603) 230-1970
Fax
(603) 227-7573
NPI assigned
Feb 27, 2006
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H9885 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X H9885 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 16751 NH Primary

Addresses

Primary practice location

248 Pleasant St Ste G100
Concord, NH 03301-2588

Mailing address

248 Pleasant St Ste G100
Concord, NH 03301-2588
Phone (603) 230-1970

Other practice location 1

250 Pleasant St
Suite 1350
Concord, NH 03301-7539
Phone (603) 230-1970

Other identifiers 1

IdentifierTypeStateIssuer
130560907MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20150121002177 NH Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 6103878327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 228-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9885TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Family Medicine CurrentSince Sep 17, 2021 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 17, 2014 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 17, 2014 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Kenneth R Hart DO PA Past Accepting new patients
Concord Hospital, Inc. Past Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

248 Pleasant St
Ste G100
Concord, NH 03301
Phone (603) 224-7888

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ofc
Concord, NH 03301

250 Pleasant St
Ste 1350
Concord, NH 03301
Phone (603) 230-1970

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

85 Spring St
Ste 303
Laconia, NH 03246
Phone (603) 527-2969

85 Spring St
Ste 401
Laconia, NH 03246
Phone (603) 230-1939

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

Organizations & group practices 6

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 7

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1902872294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE G100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-230-1970",
            "fax_number": "603-230-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE G100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-230-1970",
            "fax_number": "603-227-7573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_2": "Suite 1350",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017539",
            "country_code": "US",
            "telephone_number": "603-230-1970",
            "fax_number": "603-230-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "DUANE",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9885",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "H9885",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NH",
            "license": "16751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130560907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.