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KENNETH DEITCH DO
NPI 1558300855
Emergency Medicine in Phila, PA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
101 E OLNEY AVE, SUITE 400, PHILA, PA 19120(215) 456-7000(215) 254-2599 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Deitch Do NPPES

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

KENNETH DEITCH DO (NPI 1558300855) is an individual emergency medicine provider in Phila, Pennsylvania, licensed in Pennsylvania (OS012659) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain West Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1558300855
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH DEITCHCredential: DO
Location Address101 E OLNEY AVE, SUITE 400Phila, PA 19120-2421
Mailing Address5501 Old York RdPhila, PA 19141-3018 · (215) 456-6679 · Fax (215) 456-8502
Phone(215) 456-7000
Fax(215) 254-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 11, 2011
✔ NPI 1558300855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS012659
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
101 E OLNEY AVE, Phila, PA 19120
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Other Identifiers 3

Other232664784PA · Tax Id #
Medicare UPINH94405PA
Medicare ID-Type Unspecified1963292PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Deitch Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820160518
PECOS Enrollment IDI20200227001249
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19120 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

VERONICA MOONEY CRNA
Nurse Anesthetist, Certified Registered
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
LAUREN BRUCE CRNA
Nurse Anesthetist, Certified Registered
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
GLENN SHOPPER MD
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
JOHN WHYTE MD
Physical Medicine & Rehabilitation
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
MARCO A GIDARO MD
Nurse Anesthetist, Certified Registered
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
MS. LINDA BAILEY P.A.
Physician Assistant (Surgical)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-7000
LUXOTTICA OF AMERICA INC
Eyewear Supplier
101 E OLNEY AVE
PHILADELPHIA, PA 19120
Philadelphia County (305) 557-9004
EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC
Family Medicine
101 E OLNEY AVE
PHILADELPHIA, PA 19120
Philadelphia County (215) 456-4694

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 Kenneth Deitch's NPI number?

The NPI number for Kenneth Deitch is 1558300855. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Deitch located?

Kenneth Deitch practices at 101 E Olney Ave Suite 400, Phila, PA 19120. The listed phone number is (215) 456-7000.

What is Kenneth Deitch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Deitch enrolled in Medicare?

Yes. Kenneth Deitch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Deitch accept?

Health plans from Molina Healthcare list Kenneth Deitch 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.

Is Kenneth Deitch affiliated with any hospitals?

According to CMS data, Kenneth Deitch is affiliated with Mountain West Medical Center and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Deitch was last updated on November 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.