RICHARD EDWARD DIETZEN M.D.
NPI 1871580704
Specialist in El Dorado, AR

Q: What is Richard Dietzen's NPI number?

The NPI number for Richard Dietzen is 1871580704. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Richard Dietzen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Dietzen was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 05, 2005PECOS Enrolled

403 W OAK ST, SUITE 302, EL DORADO, AR 71730(870) 863-6444(870) 863-6675 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Richard Edward Dietzen M.d. NPPES

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

RICHARD EDWARD DIETZEN M.D. (NPI 1871580704) is an individual specialist in El Dorado, Arkansas, licensed in Arkansas (E-1069) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871580704

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameRICHARD EDWARD DIETZENCredential: M.D.

Location Address403 W OAK ST, SUITE 302El Dorado, AR 71730-4586

Mailing AddressPo Box 2116El Dorado, AR 71731-2116 · (870) 863-6444 · Fax (870) 863-6675

Phone(870) 863-6444

Fax(870) 863-6675

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateOctober 27, 2010

✔ NPI 1871580704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · E-1069

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

403 W OAK ST, El Dorado, AR 71730

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Other Identifiers 4

Medicaid130492001AR

Medicare PIN5K301AR

Medicare UPINA37657AR

Medicaid136119002AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Edward Dietzen M.d. 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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers17 claims42 services$1.74 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers81 claims81 services$106.80 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers83 claims228 services$41.23 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers62 claims349 services$23.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers13 claims78 services$15.53 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers78 claims78 services$69.51 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers94 claims94 services$22.61 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers156 claims156 services$20.44 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers169 claims973 services$2.95 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers79 claims79 services$7.77 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers73 claims73 services$13.83 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers79 claims79 services$18.76 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers39 claims39 services$50.25 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers173 claims173 services$892.54 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier19 claims20 services$16.18 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers33 claims37 services$36.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers177 claims179 services$103.58 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers51 claims51 services$35.67 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers29 claims1,740 services$5.29 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers31 claims3,599 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers46 claims4,980 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers53 claims3,420 services$0.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers90 claims90 services$23.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLAN PIRNIQUE MD

Family Medicine

403 W OAK ST
EL DORADO, AR 71730

Union County (870) 862-2489

MRS. JULIA KAY M HARDIN APN

Nurse Practitioner

403 W OAK ST, STE 303
EL DORADO, AR 71730

Union County (870) 862-5732

ANGELA NORMAN FNP

Nurse Practitioner (Family)

403 W OAK ST, SUITE 200
EL DORADO, AR 71730

Union County (870) 863-2000

RICHARD E. DIETZEN, M.D.,P.A.

Clinic/Center (Medical Specialty)

403 W OAK ST, SUITE 302
EL DORADO, AR 71730

Union County (870) 863-6444

SOUTH ARKANSAS DIAGNOSTIC CLINIC

Nurse Practitioner

403 W OAK ST, SUITE 303
EL DORADO, AR 71730

Union County (870) 862-5732

DR. HENRY L. GOMEZ

Pediatrics

403 W OAK ST, SUITE 305
EL DORADO, AR 71730

Union County (870) 863-3131

KRIS BRYAN APN

Nurse Practitioner (Primary Care)

403 W OAK ST, SUITE 200
EL DORADO, AR 71730

Union County (870) 875-5500

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 Richard Dietzen's NPI number?

The NPI number for Richard Dietzen is 1871580704. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Richard Dietzen located?

Richard Dietzen practices at 403 W Oak St Suite 302, El Dorado, AR 71730. The listed phone number is (870) 863-6444.

What is Richard Dietzen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Richard Dietzen enrolled in Medicare?

Yes. Richard Dietzen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Dietzen was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.