PAUL DIEDRICH PA-C
NPI 1841260742
Physician Assistant - Medical in Las Vegas, NV

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
2704 N TENAYA WAY, LAS VEGAS, NV 89128(028) 775-1997(702) 363-8753 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Jan 18, 2017 (2 updates tracked since 2017).

About Paul Diedrich Pa-c NPPES

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

PAUL DIEDRICH PA-C (NPI 1841260742) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA870) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1841260742
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL DIEDRICHCredential: PA-C
Location Address2704 N TENAYA WAYLas Vegas, NV 89128-0424
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Fax(702) 363-8753
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 24, 2006
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1841260742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NV · PA870
2704 N TENAYA WAY, Las Vegas, NV 89128

Other Identifiers 2

Medicaid100504092NV
Medicaid100504091NV

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

Paul Diedrich Pa-c 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 ID1557319225
PECOS Enrollment IDI20050110000420
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services24 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
23 services23 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services17 patients

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.

Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Physician Assistant
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Nurse Practitioner
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Internal Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Nurse Practitioner (Family)
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128

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 Paul Diedrich's NPI number?

The NPI number for Paul Diedrich is 1841260742. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Paul Diedrich located?

Paul Diedrich practices at 2704 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (028) 775-1997.

What is Paul Diedrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Diedrich enrolled in Medicare?

Yes. Paul Diedrich 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 Paul Diedrich was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.