DIETRICH GRAVENSTEIN MD
NPI 1174540165
Anesthesiology in Philadelphia, PA

Q: What is Dietrich Gravenstein's NPI number?

The NPI number for Dietrich Gravenstein is 1174540165. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Dietrich Gravenstein's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment

111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107(215) 955-6161(215) 923-5507 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2018, Jul 6, 2018 (2 updates tracked since 2018).

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About Dietrich Gravenstein Md NPPES

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

DIETRICH GRAVENSTEIN MD (NPI 1174540165) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451666) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of University Of Florida College Of Medicine (1989).

NPPES Registry Identity

NPI1174540165

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDIETRICH GRAVENSTEINCredential: MD

Location Address111 S 11TH ST STE 8490Philadelphia, PA 19107-4824

Mailing Address111 S 11th St Ste 8490Philadelphia, PA 19107-4824 · (215) 955-6161 · Fax (215) 923-5507

Phone(215) 955-6161

Fax(215) 923-5507

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1989

Enumeration DateJuly 16, 2006

Last NPPES UpdateNovember 26, 20182 updates tracked since enumeration

✔ NPI 1174540165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in PA · MD451666✔ Licensed in FL · ME64324

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

111 S 11TH ST STE 8490, Philadelphia, PA 19107

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Other Names 1

Other Name (5)Dietrich Gravenstein

Other Identifiers 1

Medicaid372840400FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dietrich Gravenstein Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406849553

PECOS Enrollment IDI20140716002305

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

15 services15 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

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

DR. DARSI NICOLE PITCHON M.D.

Anesthesiology