DR. KENNETH ROBERT DIDDIE M.D.
NPI 1184684219
Specialist in Westlake Village, CA

Q: What is Kenneth Diddie's NPI number?

The NPI number for Kenneth Diddie is 1184684219. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Kenneth Diddie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Diddie was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1220 LA VENTA DR, SUITE 211, WESTLAKE VILLAGE, CA 91361(805) 379-0200(805) 496-5204 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2021, Jun 1, 2017 (2 updates tracked since 2017).

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About Dr. Kenneth Robert Diddie M.d. NPPES

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

DR. KENNETH ROBERT DIDDIE M.D. (NPI 1184684219) is an individual specialist in Westlake Village, California, licensed in California (G033939) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1973).

NPPES Registry Identity

NPI1184684219

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. KENNETH ROBERT DIDDIECredential: M.D.

Location Address1220 LA VENTA DR, SUITE 211Westlake Village, CA 91361-3703

Mailing Address1220 La Venta Dr, Suite 211Westlake Village, CA 91361-3703 · (805) 379-0200 · Fax (805) 496-5204

Phone(805) 379-0200

Fax(805) 496-5204

Sole ProprietorYes

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1973

Enumeration DateMarch 24, 2006

Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration

NPPES CertifiedMarch 1, 2021

✔ NPI 1184684219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G033939

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1220 LA VENTA DR, Westlake Village, CA 91361

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Other Identifiers 1

Medicaid00G339391CA

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

Dr. Kenneth Robert Diddie M.d. 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 ID4981682580

PECOS Enrollment IDI20111212000435

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 8

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,561 services559 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,077 services133 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

824 services115 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

621 services481 patients

Destruction of growth of retina using a laser 67210

This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.

489 services125 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

448 services27 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

97%363 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%87 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

100%82 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,438 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

91%34 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%37 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 822 patients

Patients totalRate: 0% · 822 patients

0%822 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

MR. ANTHONY VASQUEZ P.T.

Physical Therapist

1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 777-7370

WESTLAKE PHYSICAL THERAPY, INC.

Physical Therapist

1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 777-7370

LINDA GERRITS M D INC A PROFESSIONAL CORP

Internal Medicine (Nephrology)

1220 LA VENTA DR, SUITE 207
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 494-7710

MS. JESSICA SARAH VON DEN STEMMEN M.P.T.

Physical Therapist

1220 LA VENTA DR, SUITE # 102
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 777-7370

DENISE MARIE CARLTON MSN, WHNP-BC

Nurse Practitioner (Obstetrics & Gynecology)

1220 LA VENTA DR, SUITE 209
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 497-9119

MRS. JANICE HYLLENGREN D.P.T.

Physical Therapist

1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 777-7370

KHANNA INSTITUTE ASC

Clinic/Center (Ambulatory Surgical)

1220 LA VENTA DR, 209
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 230-2126

HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP A MEDICAL CORPORATION

Clinical Medical Laboratory

1220 LA VENTA DR, SUITE 103
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 374-1737

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 Kenneth Diddie's NPI number?

The NPI number for Kenneth Diddie is 1184684219. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Kenneth Diddie located?

Kenneth Diddie practices at 1220 La Venta Dr Suite 211, Westlake Village, CA 91361. The listed phone number is (805) 379-0200.

What is Kenneth Diddie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenneth Diddie enrolled in Medicare?

Yes. Kenneth Diddie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Diddie was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.