DR. ELISABETH A DIETRICH MD
NPI 1922621622
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

Q: What is Elisabeth Dietrich's NPI number?

The NPI number for Elisabeth Dietrich is 1922621622. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Q: What is Elisabeth Dietrich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment

1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-2241 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 20, 2024, May 28, 2020 (2 updates tracked since 2020).

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About Dr. Elisabeth A Dietrich Md NPPES

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

DR. ELISABETH A DIETRICH MD (NPI 1922621622) is an individual psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0101274680) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922621622

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ELISABETH A DIETRICHCredential: MD

Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363

Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000

Phone(434) 924-2241

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2020

Enumeration DateMay 28, 2020

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1922621622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in VA · 0101274680✔ Licensed in MA · 1019087

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

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Secondary Practice Locations 2

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Location 21215 Lee StCharlottesville, VA 22908-6110 · Phone (434) 924-2231

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

Dr. Elisabeth A Dietrich Md 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 ID6204252570

PECOS Enrollment IDI20250702000214

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

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.

AHMED A AHMED MD

Ophthalmology