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ALEXIS DIETZ DO
NPI 1083109243
Pediatrics in Fort Lauderdale, FL

Active since June 28, 2018PECOS Enrolled
915 MIDDLE RIVER DR STE 209, FORT LAUDERDALE, FL 33304(954) 300-1736 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Dec 15, 2022, Sep 22, 2021 and 2 more (5 updates tracked since 2018).

About Alexis Dietz Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS DIETZ DO (NPI 1083109243) is an individual pediatrics provider in Fort Lauderdale, Florida, licensed in Florida (OS17835) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083109243
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALEXIS DIETZCredential: DO
Location Address915 MIDDLE RIVER DR STE 209Fort Lauderdale, FL 33304-3559
Mailing Address2500 Ne 21st CtFort Lauderdale, FL 33305-3516 · (941) 780-5738
Phone(954) 300-1736
Sole ProprietorNo
Enumeration DateJune 28, 2018
Last NPPES UpdateJanuary 12, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1083109243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS17835
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
915 MIDDLE RIVER DR STE 209, Fort Lauderdale, FL 33304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Dietz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORAL RIDGE PEDIATRICS INC.
Pediatrics
915 MIDDLE RIVER DR STE 209
FORT LAUDERDALE, FL 33304
Broward County (954) 300-1736
ANNA DEBONAVENTURA MD
Pediatrics
915 MIDDLE RIVER DR STE 209
FORT LAUDERDALE, FL 33304
Broward County (954) 300-1736

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Dietz's NPI number?

The NPI number for Alexis Dietz is 1083109243. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Alexis Dietz located?

Alexis Dietz practices at 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304. The listed phone number is (954) 300-1736.

What is Alexis Dietz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexis Dietz enrolled in Medicare?

Yes. Alexis Dietz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Dietz was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.