DAVID DANIEL DIETERICH DO
NPI 1083603591
Internal Medicine - Cardiovascular Disease in Clearwater, FL

Q: What is David Dieterich's NPI number?

The NPI number for David Dieterich is 1083603591. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is David Dieterich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for David Dieterich was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2005PECOS Enrolled

455 PINELLAS ST, SUITE 400, CLEARWATER, FL 33756(727) 445-1991(727) 445-1986 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David Daniel Dieterich Do NPPES

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

DAVID DANIEL DIETERICH DO (NPI 1083603591) is an individual cardiovascular disease provider in Clearwater, Florida, licensed in Florida (053669) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083603591

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDAVID DANIEL DIETERICHCredential: DO

Location Address455 PINELLAS ST, SUITE 400Clearwater, FL 33756-3356

Mailing Address455 Pinellas St, Suite 400Clearwater, FL 33756-3356 · (727) 445-1992 · Fax (727) 445-1993

Phone(727) 445-1991

Fax(727) 445-1986

Sole ProprietorNo

Enumeration DateOctober 18, 2005

Last NPPES UpdateOctober 26, 2012

✔ NPI 1083603591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · 053669

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

455 PINELLAS ST, Clearwater, FL 33756

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Other Identifiers 4

Other82318XMedicare Ptan

Medicare UPINE12046

Medicaid065988600FL

Medicare ID-Type Unspecified82318X

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Daniel Dieterich 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 33756 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

KERRIE MICHELLE COFFMAN ARNP

Nurse Practitioner

455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756

Pinellas County (727) 445-1992

OLIVIA ANNE O'BERRY PA-C

Physician Assistant

455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756

Pinellas County (727) 445-1911

MRS. LAURA WALLACE ARNP

Nurse Practitioner

455 PINELLAS ST, SUITE #400
CLEARWATER, FL 33756

Pinellas County (727) 445-1911

MR. IAN WETHERALL PA-C

Physician Assistant (Surgical)

455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756

Pinellas County (727) 446-2273

DR. JOHN BROOKE TOURTELOT M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

455 PINELLAS ST
CLEARWATER, FL 33756

Pinellas County (727) 461-8300

PAUL LESLIE PHILLIPS MD

Internal Medicine (Cardiovascular Disease)

455 PINELLAS ST, STE 400
CLEARWATER, FL 33756

Pinellas County (727) 445-1911

SHANNON O'DONNELL LOFGREN PA-C

Physician Assistant

455 PINELLAS ST
CLEARWATER, FL 33756

Pinellas County (305) 322-6263

MARY CHRISTINE LENYO ARNP

Nurse Practitioner

455 PINELLAS ST, STE 400
CLEARWATER, FL 33756

Pinellas County (727) 445-1911

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 David Dieterich's NPI number?

The NPI number for David Dieterich is 1083603591. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is David Dieterich located?

David Dieterich practices at 455 Pinellas St Suite 400, Clearwater, FL 33756. The listed phone number is (727) 445-1991.

What is David Dieterich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Dieterich enrolled in Medicare?

Yes. David Dieterich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Dieterich was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.