KRISTEN SHAW DEITCHMAN D.O.
NPI 1477849149
Pediatrics in Nottingham, MD
About Kristen Shaw Deitchman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN SHAW DEITCHMAN D.O. (NPI 1477849149) is an individual pediatrics provider in Nottingham, Maryland, licensed in Maryland (H0081342) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristen Shaw Deitchman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kristen Deitchman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1255359972 (District of Columbia)
- 952 clinicians in this Medicare group
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 158 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 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Kristen Deitchman's NPI number?
The NPI number for Kristen Deitchman is 1477849149. It was assigned to this individual provider in the NPPES registry on June 21, 2011. The provider is also known as Kristen Elizabeth Shaw D.O..
Where is Kristen Deitchman located?
Kristen Deitchman practices at 4924 Campbell Blvd Suite 200, Nottingham, MD 21236. The listed phone number is (443) 442-2300.
What is Kristen Deitchman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristen Deitchman enrolled in Medicare?
Yes. Kristen Deitchman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristen Deitchman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Deitchman reassigns Medicare benefits to 2 organizations: Johns Hopkins Community Physicians, Inc (Nottingham, MD) and Upper Chesapeake Medical Services, Inc (Bel Air, MD). Each 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 Kristen Deitchman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristen Deitchman was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kristen Shaw Deitchman, D.O. · NPI 1477849149
Pediatrics physician in Nottingham, Maryland. Individual provider, active in the CMS NPPES registry since June 21, 2011.
## Identity
- **NPI:** 1477849149 (Entity type: Individual)
- **Enumerated:** June 21, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** H0081342 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BLVD, SUITE 200, Nottingham, MD 21236-5908
- **Phone:** (443) 442-2300 · **Fax:** (410) 367-2035
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins Community Physicians, Inc (NPI 1194546192, Nottingham, MD); Upper Chesapeake Medical Services, Inc (NPI 1497801419, Bel Air, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1477849149) · Data from the CMS NPPES public registry.