DR. WILLIAM ROBERT DIETRICK MD
NPI 1881712248
Specialist in Pasadena, CA

Active since March 26, 2007PECOS Enrolled
76.6/100
CMS Quality Rating
800 FAIRMOUNT AVE, 215, PASADENA, CA 91105(626) 397-5126 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Robert Dietrick Md NPPES

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

DR. WILLIAM ROBERT DIETRICK MD (NPI 1881712248) is an individual specialist in Pasadena, California, licensed in California (G13777) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881712248
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. WILLIAM ROBERT DIETRICKCredential: MD
Location Address800 FAIRMOUNT AVE, 215Pasadena, CA 91105-3150
Mailing Address800 Fairmount Ave, 215Pasadena, CA 91105-3150 · (626) 397-5126
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881712248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G13777
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.
800 FAIRMOUNT AVE, Pasadena, CA 91105

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. William Robert Dietrick 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.49
Promoting Interoperability100
Improvement Activities40
Cost44.52

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.

Pediatrics
800 FAIRMOUNT AVE, STE 110
PASADENA, CA 91105
Dentist
800 FAIRMOUNT AVE, SUITE 203
PASADENA, CA 91105
Internal Medicine (Pulmonary Disease)
800 FAIRMOUNT AVE
PASADENA, CA 91105
Pediatrics
800 FAIRMOUNT AVE, SUITE 415
PASADENA, CA 91105
Dermatology
800 FAIRMOUNT AVE, SUITE 310
PASADENA, CA 91105
Ophthalmology
800 FAIRMOUNT AVE, SUITE 101
PASADENA, CA 91105
Internal Medicine
800 FAIRMOUNT AVE, SUITE 210
PASADENA, CA 91105
Nurse Practitioner (Acute Care)
800 FAIRMOUNT AVE, SUITE 220
PASADENA, CA 91105

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 William Dietrick's NPI number?

The NPI number for William Dietrick is 1881712248. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is William Dietrick located?

William Dietrick practices at 800 Fairmount Ave 215, Pasadena, CA 91105. The listed phone number is (626) 397-5126.

What is William Dietrick's specialty?

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

Is William Dietrick enrolled in Medicare?

Yes. William Dietrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Dietrick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.