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KRISTEN SHAW DEITCHMAN D.O.
NPI 1477849149
Pediatrics in Nottingham, MD

Active since June 21, 2011PECOS Enrolled
4924 CAMPBELL BLVD, SUITE 200, NOTTINGHAM, MD 21236(443) 442-2300(410) 367-2035 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1477849149
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTEN SHAW DEITCHMANCredential: D.O.
Location Address4924 CAMPBELL BLVD, SUITE 200Nottingham, MD 21236-5908
Mailing Address4924 Campbell Blvd, Suite 200Nottingham, MD 21236-5908 · (443) 442-2300 · Fax (410) 367-2035
Phone(443) 442-2300
Fax(410) 367-2035
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateOctober 17, 2016
✔ NPI 1477849149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · H0081342
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4924 CAMPBELL BLVD, Nottingham, MD 21236
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Other Names 1

Former Name (1)Kristen Elizabeth Shaw D.o.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Shaw Deitchman D.o. 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 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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

MISS DANIELLE R. NORTH PA-C
Physician Assistant
4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
NAOMI P CUTLER M.D.
Internal Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Baltimore County (443) 442-2300
MR. DAVID S SANDLER PAC
Physician Assistant (Medical)
4924 CAMPBELL BLVD
WHITE MARSH, MD 21236
Baltimore County (443) 442-2300
DEBRAHE K. ROWLAND AG-ACNP-BC
Nurse Practitioner (Acute Care)
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
WHITE MARSH PHARMACY
Pharmacy (Community/Retail Pharmacy)
4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236
Baltimore County (443) 384-2500
JOHNS HOPKINS UNIVERSITY
Internal Medicine
4924 CAMPBELL BLVD
BALTIMORE, MD 21236
Baltimore County (443) 442-2401
DR. TIGIST HAILU M.D.
Internal Medicine (Cardiovascular Disease)
4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236
Baltimore County (443) 442-2000
DR. HANNAH MARIE VACA DPT
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (410) 955-5000

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.

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 9 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.