ELISABETH MARGARET DIETRICH MD, MPH
NPI 1225424914
Family Medicine in Berkeley, CA

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
2621 10TH ST, BERKELEY, CA 94710(510) 898-4245 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elisabeth Margaret Dietrich Md, Mph NPPES

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

ELISABETH MARGARET DIETRICH MD, MPH (NPI 1225424914) is an individual family medicine provider in Berkeley, California, licensed in California (A144592) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2015).

NPPES Registry Identity

NPI1225424914
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELISABETH MARGARET DIETRICHCredential: MD, MPH
Location Address2621 10TH STBerkeley, CA 94710-2674
Mailing Address1001 Potrero Ave, Bldg 80-83San Francisco, CA 94110-3518
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1225424914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A144592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2621 10TH ST, Berkeley, CA 94710

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

Elisabeth Margaret Dietrich Md, Mph 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 ID6103177233
PECOS Enrollment IDI20180928000506
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 94710 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Family Medicine
2621 10TH ST
BERKELEY, CA 94710
Family Medicine
2621 10TH ST
BERKELEY, CA 94710
Internal Medicine
2621 10TH ST
BERKELEY, CA 94710
Internal Medicine
2621 10TH ST
BERKELEY, CA 94710

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 Elisabeth Dietrich's NPI number?

The NPI number for Elisabeth Dietrich is 1225424914. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Elisabeth Dietrich located?

Elisabeth Dietrich practices at 2621 10th St, Berkeley, CA 94710. The listed phone number is (510) 898-4245.

What is Elisabeth Dietrich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elisabeth Dietrich enrolled in Medicare?

Yes. Elisabeth Dietrich 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 Elisabeth Dietrich was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.