JOHN E DIETRICH M.D.
NPI 1417927807
Internal Medicine - Infectious Disease in Little Rock, AR

Q: What is John Dietrich's NPI number?

The NPI number for John Dietrich is 1417927807. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is John Dietrich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for John Dietrich was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 26, 2006PECOS Enrolled

1 SAINT VINCENT CIR, SUITE 160, LITTLE ROCK, AR 72205(501) 661-0037(501) 661-0038 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About John E Dietrich M.d. NPPES

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

JOHN E DIETRICH M.D. (NPI 1417927807) is an individual infectious disease provider in Little Rock, Arkansas, licensed in Arkansas (E0736) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417927807

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameJOHN E DIETRICHCredential: M.D.

Location Address1 SAINT VINCENT CIR, SUITE 160Little Rock, AR 72205-5405

Mailing Address1 Saint Vincent Cir, Suite 160Little Rock, AR 72205-5405 · (501) 661-0037 · Fax (501) 661-0038

Phone(501) 661-0037

Fax(501) 661-0038

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateMay 20, 2015

✔ NPI 1417927807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in AR · E0736

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1 SAINT VINCENT CIR, Little Rock, AR 72205

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC15259

Medicaid129921001AR

Medicare ID-Type Unspecified5K232AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John E Dietrich 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Leave this field empty