MADDALYN DEITCHMAN RD
NPI 1255116836
Dietitian, Registered in Sacaton, AZ

Active since August 30, 2023
483 W SEED FARM RD, SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2025, Aug 30, 2023 (2 updates tracked since 2023).

About Maddalyn Deitchman Rd NPPES

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

MADDALYN DEITCHMAN RD (NPI 1255116836) is an individual dietitian, registered in Sacaton, Arizona, licensed in Arizona (86303694) and active in the NPI registry since August 2023. She maintains a secondary practice location in Avondale.

NPPES Registry Identity

NPI1255116836
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMADDALYN DEITCHMANCredential: RD
Location Address483 W SEED FARM RDSacaton, AZ 85147-5000
Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474
Fax(602) 528-1255
Sole ProprietorNo
Enumeration DateAugust 30, 2023
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1255116836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AZ · 86303694
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
483 W SEED FARM RD, Sacaton, AZ 85147

Secondary Practice Location 1

Location 110750 W McDowell Rd Ste A300Avondale, AZ 85392-5963 · Phone (623) 399-6825 · Fax (623) 505-3474

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)

Maddalyn Deitchman Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Critical Access
483 W. SEED FARM RD.
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 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.

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.

Dietitian, Registered
483 W SEED FARM RD
SACATON, AZ 85147
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Physician Assistant
483 W SEED FARM RD
SACATON, AZ 85147
Physical Therapist
483 W SEED FARM RD
SACATON, AZ 85147
Nurse Practitioner (Family)
483 W SEED FARM RD
SACATON, AZ 85147
Social Worker (Clinical)
483 W SEED FARM RD
SACATON, AZ 85147
Optometrist
483 W SEED FARM RD
SACATON, AZ 85147

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 Maddalyn Deitchman's NPI number?

The NPI number for Maddalyn Deitchman is 1255116836. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Maddalyn Deitchman located?

Maddalyn Deitchman practices at 483 W Seed Farm Rd, Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Maddalyn Deitchman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Maddalyn Deitchman enrolled in Medicare?

Yes. Maddalyn Deitchman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maddalyn Deitchman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maddalyn Deitchman reassigns Medicare benefits to Gila River Health Care Corporation (Sacaton, AZ). 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 Maddalyn Deitchman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maddalyn Deitchman accept?

Health plans from Blue Cross Blue Shield of Arizona list Maddalyn Deitchman 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 Maddalyn Deitchman was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.