KEVIN DEIDRICK
NPI 1538746110
Podiatrist - Primary Podiatric Medicine in Temple, TX

NPI Status: Active since March 28, 2021

Contact Information

2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 935-5750

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  • Individual
  • Male
  • Years of Experience 5
  • Podiatrist
  • Primary Podiatric Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KEVIN DEIDRICK

This page provides the complete NPI Profile along with additional information for Kevin Deidrick, a provider established in Temple, Texas with a medical specialization in Podiatrist, focusing in primary podiatric medicine and more than 5 years of experience. He graduated from R Franklin University Of Med & Sci/chicago Medical School in 2021. The healthcare provider is registered in the NPI registry with number 1538746110 assigned on March 2021. The practitioner's primary taxonomy code is 213EP1101X with license number 692126 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1538746110
Provider Name
KEVIN DEIDRICK
Gender
Male
Entity Type
Individual
Location Address
2401 S 31ST ST TEMPLE, TX 76508
Location Phone
(254) 935-5750
Mailing Address
2401 S 31ST ST TEMPLE, TX 76508
Mailing Phone
(916) 390-1680
Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
03-28-2021
Last Update Date
05-17-2024
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A podiatrist like Kevin Deidrick provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers
License No.
692126
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kevin Deidrick is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kevin Deidrick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628470242

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240719002769

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Deidrick is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111Acute Care Hospitals
BAYLOR SCOTT & WHITE HOSPITAL BRENHAM700 MEDICAL PARKWAY
BRENHAM, TX 77833
(979) 836-6173Critical Access Hospitals
BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI700 SCOTT & WHITE DRIVE
COLLEGE STATION, TX 77845
(979) 691-3701Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538746110, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 4 + 4 + 1 + 2 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1538746110.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Adult Health)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Gastroenterology)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508
Ophthalmology
2401 S 31ST ST
TEMPLE, TX 76508
Anesthesiology
2401 S 31ST ST
TEMPLE, TX 76508
Psychiatry & Neurology (Neurology)
2401 S 31ST ST
TEMPLE, TX 76508
Radiology (Radiation Oncology)
2401 S 31ST ST
TEMPLE, TX 76508
Pathology (Anatomic Pathology & Clinical Pathology)
2401 S 31ST ST
TEMPLE, TX 76508
Surgery
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508
Emergency Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Surgery (Plastic and Reconstructive Surgery)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Hematology & Oncology)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538746110, enumerated as an "individual" on March 28, 2021.

The provider is located at 2401 S 31ST ST TEMPLE, TX 76508 and the phone number is (254) 935-5750.

Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.

The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.

Kevin Deidrick is affiliated with: BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE, BAYLOR SCOTT & WHITE HOSPITAL BRENHAM and BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI.