DOUGLAS T DIETERICH MD
NPI 1225056070
Internal Medicine - Hepatology in New York, NY

Q: What is Douglas Dieterich's NPI number?

The NPI number for Douglas Dieterich is 1225056070. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Douglas Dieterich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Dieterich was last updated on June 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.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

17 E 102ND ST, NEW YORK, NY 10029(212) 241-7270(212) 289-7738 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jun 9, 2023, Oct 5, 2022 (3 updates tracked since 2022).

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About Douglas T Dieterich Md NPPES

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

DOUGLAS T DIETERICH MD (NPI 1225056070) is an individual hepatology provider in New York, New York, licensed in New York (139595) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of New York University School Of Medicine (1978).

NPPES Registry Identity

NPI1225056070

Entity TypeIndividualMale

Primary Taxonomy207RI0008X

Provider Legal NameDOUGLAS T DIETERICHCredential: MD

Location Address17 E 102ND STNew York, NY 10029-5204

Mailing Address1 Gustave L Levy Pl # 1118New York, NY 10029-6504

Phone(212) 241-7270

Fax(212) 289-7738

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1978

Enumeration DateJuly 18, 2006

Last NPPES UpdateJune 12, 20233 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1225056070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0008X

License✔ Licensed in NY · 139595

Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

17 E 102ND ST, New York, NY 10029

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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 and accepts Medicare assignment

Douglas T Dieterich 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 ID749388171

PECOS Enrollment IDI20070608000486

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

209 services145 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

80 services72 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

71 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

67 services63 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

34 services33 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

24 services20 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

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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.

JENNIFER WEINTRAUB

Internal Medicine