ANN MARIE DIETRICH MD
NPI 1972505915
Pediatrics - Pediatric Emergency Medicine in Greenville, SC
NPI Status: Active since August 10, 2005
Contact Information
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-7899
Fax: (864) 455-5474
- Individual
- Female
- Pediatrics
- Pediatric Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About ANN DIETRICH
This page provides the complete NPI Profile along with additional information for Ann Dietrich, a pediatrician established in Greenville, South Carolina with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1972505915 assigned on August 2005. The practitioner's primary taxonomy code is 2080P0204X with license number 86478 (SC). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1972505915
- Provider Name
- ANN MARIE DIETRICH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 GROVE RD FL 1 GREENVILLE, SC 29605
- Location Phone
- (864) 455-7899
- Location Fax
- (864) 455-5474
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 522-8603
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2005
- Last Update Date
- 05-02-2022
- Code Navigator
A pediatrician like Ann Dietrich is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 555 S 18th St
Columbus, OH 43205
(614) 722-4867
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 86478
- License State
- SC
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207PP0204X | Allopathic & Osteopathic Physicians | Emergency Medicine | 86478 (SC) |
| 2 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | 35055079 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6486614800 | MEDICAID (05) | KY | |
| 2028273 | MEDICAID (05) | OH | |
| 0105570000 | MEDICAID (05) | WV | |
| PENDING | MEDICAID (05) | SC |
Medicare Participation & PECOS Enrollment Status
Ann Dietrich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for ANN MARIE DIETRICH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 5 | 0 | 5 | 9 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 0 | 10 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 0 + 9 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1972505915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
RACHEL MANTOOTH GRIGGS FNP
Nurse Practitioner
(Family)
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
JOSEPH MICHAEL REARDON M.D.
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
DR. DANIEL STEWART LEVY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
BEN W HARKINS PA-C
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
DR. AMBER GIST LANEY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
DR. ARWEN BEATRICE LONG DECLAN MD, PHD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
NATHANIEL MANN MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
DR. LAUREN ELIZABETH MITTIG M.D.
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
NATHAN HUDEPOHL MD, MPH
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
SCOTT MUELLER D.O.
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
MATTHEW MICHALIK
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
JENNICA PAGE SIDDLE MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
DR. BROCK HAMPTON HELMS DO
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
LAURA ELAINE MADER CHAHOUD D.O.
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
RAYMOND GEORGE CHAHOUD D.O
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
ALAN RUCKER CLARDY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
MRS. REBEKAH CHRISTINE CARRINGTON PA-C
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
VIOLETTA CZEPOWICZ M.D.
Psychiatry & Neurology
(Psychiatry)
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
ROBERT CHARLES DANIEL ATEN PA
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
ASHLEY MICHELLE LANE
Nurse Practitioner
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972505915, enumerated in the NPI registry as an "individual" on August 10, 2005
The provider is located at 701 Grove Rd Fl 1 Greenville, Sc 29605 and the phone number is (864) 455-7899
The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on August 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
