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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAMON M DIETRICH MD
NPI 1801882600
Emergency Medicine in Marrero, LA

Active since September 27, 2005PECOS Enrolled
1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENT, MARRERO, LA 70072(504) 349-1533(504) 349-1530 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Damon M Dietrich Md NPPES

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

DR. DAMON M DIETRICH MD (NPI 1801882600) is an individual emergency medicine provider in Marrero, Louisiana, licensed in Louisiana (024790) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801882600
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAMON M DIETRICHCredential: MD
Location Address1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENTMarrero, LA 70072-3147
Mailing Address1101 Medical Center Blvd, Attn: Heidi GwinnMarrero, LA 70072-3147 · (504) 349-1297 · Fax (504) 349-1146
Phone(504) 349-1533
Fax(504) 349-1530
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1801882600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 024790
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.
1101 MEDICAL CENTER BLVD, Marrero, LA 70072
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Other Identifiers 1

Medicaid1575232LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Damon M Dietrich Md 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 70072 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

LAURA KATHLEEN BROWN MSN-APRN
Nurse Practitioner (Acute Care)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-2351
MS. ROSALIE MARIE LARSON MSN, RN
Registered Nurse (Critical Care Medicine)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-2400
DR. KENNETH C. MALMSTROM MD
Hospitalist
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
DR. JAMES W CALLAGHAN MD
Emergency Medicine
1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENT
MARRERO, LA 70072
Jefferson Parish (504) 349-1533
HERNAN ADAMES MD
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
JAHNAVI RUDRAKSHALA MD
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1656
DR. JAMIESON GLASSER M.D.
Student in an Organized Health Care Education/Training Program
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 347-5511
ELIZABETH COCHRANE RITZ M.D.
Emergency Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-1533

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 Damon Dietrich's NPI number?

The NPI number for Damon Dietrich is 1801882600. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Damon Dietrich located?

Damon Dietrich practices at 1101 Medical Center Blvd Emergency Department, Marrero, LA 70072. The listed phone number is (504) 349-1533.

What is Damon Dietrich's specialty?

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

Is Damon Dietrich enrolled in Medicare?

Yes. Damon Dietrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damon Dietrich was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.