DR. EDWIN HENRY DIETRICH MD
NPI 1710221403
Emergency Medicine - Emergency Medical Services in Oakland, CA

Active since November 19, 2012PECOS EnrolledAccepts Medicare Assignment
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4564 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin Henry Dietrich Md NPPES

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

DR. EDWIN HENRY DIETRICH MD (NPI 1710221403) is an individual emergency medical services provider in Oakland, California, licensed in California (A129815) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2012).

NPPES Registry Identity

NPI1710221403
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. EDWIN HENRY DIETRICHCredential: MD
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address2098 Fell StSan Francisco, CA 94117-1808 · (443) 632-7654
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2012
Enumeration DateNovember 19, 2012
Last NPPES UpdateDecember 16, 2021
NPI 1710221403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in CA · A129815
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1411 E 31ST ST, Oakland, CA 94602

Other Identifiers 1

Medicaid207P00000X EMERGENCYCA

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

Dr. Edwin Henry Dietrich Md 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 ID2961716303
PECOS Enrollment IDI20150729010107
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

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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Surgery
1411 E 31ST ST
OAKLAND, CA 94602

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 Edwin Dietrich's NPI number?

The NPI number for Edwin Dietrich is 1710221403. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Edwin Dietrich located?

Edwin Dietrich practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4564.

What is Edwin Dietrich's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Edwin Dietrich enrolled in Medicare?

Yes. Edwin Dietrich 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.

When was this NPI record last updated?

The NPPES record for Edwin Dietrich was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.