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

NPI Status: Active since May 05, 2006

Contact Information

600 E MAIN ST
ELMA, WA
ZIP 98541
Phone: (360) 346-2240
Fax: (360) 346-2192

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • PECOS Enrolled

About KENNETH DIETRICH

This page provides the complete NPI Profile along with additional information for Kenneth Dietrich, a pediatrician established in Elma, Washington with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1245288752 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 27133 (WA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1245288752
Provider Name
DR. KENNETH ANTHONY DIETRICH M.D., MBA
Gender
Male
Entity Type
Individual
Location Address
600 E MAIN ST ELMA, WA 98541
Location Phone
(360) 346-2240
Location Fax
(360) 346-2192
Mailing Address
600 E MAIN ST ELMA, WA 98541
Mailing Phone
(360) 346-2240
Mailing Fax
(360) 346-2192
Is Sole Proprietor?
No
Enumeration Date
05-05-2006
Last Update Date
04-04-2019
Code Navigator

A pediatrician like Kenneth Dietrich is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 314 Martin Luther King Jr Way Suite 9
    Tacoma, WA 98405
    (253) 403-1511

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
27133
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kenneth Dietrich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

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

    1 DME suppliers used 35 Medicare Claims 35 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    1 DME suppliers used 37 Medicare Claims 37 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 84 times for 41 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 25 times for 25 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 19 times for 19 patients

Reviews for DR. KENNETH ANTHONY DIETRICH M.D., MBA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245288752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854816710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 8 + 1 + 6 + 7 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245288752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. JUSTIN K. TAYLOR N.M.D.

Naturopath

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

DR. BERNADETTE LOUISE HUARD MD

Psychiatry & Neurology

(Psychiatry)

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES

Family Medicine

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

MARY ELIZABETH SCHROEDER ARNP, RN

Nurse Practitioner

(Psychiatric/Mental Health)

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 972-0052

BELINDA VIANN LEAR M.D.

Family Medicine

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

CLYDE ARTHUR HANSON DO

Emergency Medicine

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2299

JOSEPH HANS KOHN ARNP-C

Nurse Practitioner

(Family)

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

KAYLYN WAYMAN ARNP

Nurse Practitioner

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

DR. ANDREW J BURTON PHARMD

Pharmacist

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2238

SARAH CAROSSINO RDN, CD

Dietitian, Registered

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

MICHELLE LITTLE PA-C

Physician Assistant

(Medical)

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

WASHINGTON ORTHOPAEDIC CENTER, INC, PS

Orthopaedic Surgery

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 736-2889

MRS. KRISTI LYNN COVEY OTRL

Occupational Therapist

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2299

JOSEPH LEWIS MCFADDEN ARNP

Nurse Practitioner

(Family)

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

PATRICK O'REILLY PHYSICIAN ASSISTANT

Physician Assistant

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

BRITANIE LINING

Physical Therapist

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

LAURIE A. BELKNAP DO

Family Medicine

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

JANELLE WORTMAN

Pharmacist

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2238

AARON WARD DPT

Physical Therapist

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2222

MAN WAH MACKIE CHAN MD

Student in an Organized Health Care Education/Training Program

600 E MAIN ST
ELMA, WA
ZIP 98541

(360) 346-2239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245288752, enumerated as an "individual" on May 05, 2006.

The provider is located at 600 E MAIN ST ELMA, WA 98541 and the phone number is (360) 346-2240.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.