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CHARLES JOSEPH DIETZEN M.D.
NPI 1790756385
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Indianapolis, IN

Active since January 31, 2006
705 RILEY HOSPITAL DR, RI 3146, INDIANAPOLIS, IN 46202(317) 944-2353(317) 944-2390 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Joseph Dietzen M.d. NPPES

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

CHARLES JOSEPH DIETZEN M.D. (NPI 1790756385) is an individual pediatric rehabilitation medicine provider in Indianapolis, Indiana, licensed in Indiana (01036773A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1790756385
Entity TypeIndividualMale
Primary Taxonomy2081P0010X
Provider Legal NameCHARLES JOSEPH DIETZENCredential: M.D.
Location Address705 RILEY HOSPITAL DR, RI 3146Indianapolis, IN 46202-5109
Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 274-1201 · Fax (317) 278-9905
Phone(317) 944-2353
Fax(317) 944-2390
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1790756385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in IN · 01036773A
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
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Other Identifiers 2

Medicaid100284930IN
Medicare PIN145590039IN

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.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Charles Dietzen's NPI number?

The NPI number for Charles Dietzen is 1790756385. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Charles Dietzen located?

Charles Dietzen practices at 705 Riley Hospital Dr Ri 3146, Indianapolis, IN 46202. The listed phone number is (317) 944-2353.

What is Charles Dietzen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

When was this NPI record last updated?

The NPPES record for Charles Dietzen was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.