DR. ANDREW EVERETT DIEDERICH MD
NPI 1932846409
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Q: What is Andrew Diederich's NPI number?

The NPI number for Andrew Diederich is 1932846409. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Andrew Diederich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Diederich was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 17, 2022PECOS Enrolled

3901 RAINBOW BLVD # MS 3017, KANSAS CITY, KS 66160(913) 588-0575 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Andrew Everett Diederich Md NPPES

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

DR. ANDREW EVERETT DIEDERICH MD (NPI 1932846409) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932846409

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANDREW EVERETT DIEDERICHCredential: MD

Location Address3901 RAINBOW BLVD # MS 3017Kansas City, KS 66160-8500

Mailing Address3901 Rainbow Blvd # Ms 3017Kansas City, KS 66160-8500 · (913) 588-0575

Phone(913) 588-0575

Sole ProprietorNo

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1932846409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 RAINBOW BLVD # MS 3017, Kansas City, KS 66160

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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. Andrew Everett Diederich 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.

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Other Providers at the Same Location NPPES 18

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

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