DEIDRE ANNE DIETZ M.D.
NPI 1245436625
Family Medicine in Chicago, IL

Active since June 22, 2007PECOS Enrolled
3223 W 63RD STREET, CHICAGO, IL 60629(773) 768-5000 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deidre Anne Dietz M.d. NPPES

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

DEIDRE ANNE DIETZ M.D. (NPI 1245436625) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.125780) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245436625
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEIDRE ANNE DIETZCredential: M.D.
Location Address3223 W 63RD STREETChicago, IL 60629
Mailing Address9119 S Exchange AveChicago, IL 60617-4225 · (773) 768-5000
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1245436625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.125780
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.
3223 W 63RD STREET, Chicago, IL 60629

Other Names 1

Former Name (1)Deidre Anne Schupbach M.d.

Other Identifiers 1

OtherRS2000-0373NM · Training

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deidre Anne Dietz M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Deidre Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Deidre Dietz's NPI number?

The NPI number for Deidre Dietz is 1245436625. It was assigned to this individual provider in the NPPES registry on June 22, 2007. The provider is also known as Deidre Anne Schupbach M.D..

Where is Deidre Dietz located?

Deidre Dietz practices at 3223 W 63rd Street, Chicago, IL 60629. The listed phone number is (773) 768-5000.

What is Deidre Dietz's specialty?

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

Is Deidre Dietz enrolled in Medicare?

Yes. Deidre Dietz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deidre Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidre Dietz reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deidre Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deidre Dietz accept?

Health plans from UnitedHealthcare list Deidre Dietz 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 Deidre Dietz was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.