DR. LINDA L. DIEDRIECH (M.D.) – Internal Medicine Physician, NPI 1033154554

DR. LINDA L. DIEDRIECH (M.D.) is a healthcare provider. based in Palm harbor, Florida. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME83838 (FL). The NPI Number for DR. LINDA L. DIEDRIECH (M.D.) is 1033154554

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA L. DIEDRIECH (M.D.)
NPI
1033154554
Phone
(727) 935-6477
Address
4705 ALT 19 STE B
Enumeration Date
18 June 2006
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8136814444
Graduation Year
1989 (37 years ago)
PAC ID
2860522869
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20100618000266
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. LINDA L. DIEDRIECH (M.D.)

  • 4705 ALT 19 STE B

    PALM HARBOR, FL 346831424

    Phone: (727) 935-6477

    Fax: (727) 935-6478

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100618000266IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34683)

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Provider's Procedures

DR. LINDA L. DIEDRIECH (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL90670Pneumococcal vaccine for injection into muscle5050

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
Internal Medicine, RheumatologyFL

Reviews

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Frequently asked questions

How do I look up DR. LINDA L. DIEDRIECH (M.D.) by NPI?
Use NPI 1033154554 when you need to reference DR. LINDA L. DIEDRIECH (M.D.) in forms, claims, or directories.
Is DR. LINDA L. DIEDRIECH (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. LINDA L. DIEDRIECH (M.D.) work in?
You can think of DR. LINDA L. DIEDRIECH (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. LINDA L. DIEDRIECH (M.D.)?
The snapshot lists Palm Harbor, Florida for DR. LINDA L. DIEDRIECH (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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