DR. KENNETH ANTHONY DIETRICH M.D., MBA
NPI 1245288752
Pediatrics - Pediatric Critical Care Medicine in Elma, WA

Q: What is Kenneth Dietrich's NPI number?

The NPI number for Kenneth Dietrich is 1245288752. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Kenneth Dietrich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Dietrich was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 05, 2006PECOS Enrolled

600 E MAIN ST, ELMA, WA 98541(360) 346-2240(360) 346-2192 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Anthony Dietrich M.d., Mba NPPES

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

DR. KENNETH ANTHONY DIETRICH M.D., MBA (NPI 1245288752) is an individual pediatric critical care medicine provider in Elma, Washington, licensed in Washington (27133) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1245288752

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KENNETH ANTHONY DIETRICHCredential: M.D., MBA

Location Address600 E MAIN STElma, WA 98541-9560

Mailing Address600 E Main StElma, WA 98541-9560 · (360) 346-2240 · Fax (360) 346-2192

Phone(360) 346-2240

Fax(360) 346-2192

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateApril 4, 2019

✔ NPI 1245288752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in WA · 27133

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

600 E MAIN ST, Elma, WA 98541

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Secondary Practice Location 1

Location 1314 Martin Luther King Jr Way, Suite 9Tacoma, WA 98405-4250 · Phone (253) 403-1511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Anthony Dietrich M.d., Mba 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier35 claims35 services$18.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier37 claims37 services$105.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CLAUDE OUELLETTE LMHC

Counselor (Mental Health)

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

KARLYNN STUDLEY MD

Student in an Organized Health Care Education/Training Program

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2239

GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES

Family Medicine

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

DR. BERNADETTE LOUISE HUARD MD

Psychiatry & Neurology (Psychiatry)

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

DR. GREGORY HANNABAS M.D.

Family Medicine

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

JOSEPH HANS KOHN ARNP-C

Nurse Practitioner (Family)

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

DR. ANDREW J BURTON PHARMD

Pharmacist

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2238

JOSEPH LEWIS MCFADDEN ARNP

Nurse Practitioner (Family)

600 E MAIN ST
ELMA, WA 98541

Grays Harbor County (360) 346-2222

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 Dietrich's NPI number?

The NPI number for Kenneth Dietrich is 1245288752. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Kenneth Dietrich located?

Kenneth Dietrich practices at 600 E Main St, Elma, WA 98541. The listed phone number is (360) 346-2240.

What is Kenneth Dietrich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kenneth Dietrich enrolled in Medicare?

Yes. Kenneth Dietrich is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Dietrich accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kenneth Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Dietrich was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.