DR. KURT A DIEBOLD (MD) – Internal Medicine Physician, NPI 1114993516

DR. KURT A DIEBOLD (MD) is a healthcare provider. based in Lowell, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 213606 (MA). The NPI Number for DR. KURT A DIEBOLD (MD) is 1114993516

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT A DIEBOLD (MD)
NPI
1114993516
Phone
(978) 513-7300
Address
166 Central St
Enumeration Date
24 February 2006
Last Update Date
19 January 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7315903929
Group Practice PAC ID
8123188117
Professional Enrollment ID
I20041206000704
Address ID
MA017424159CO133XXCORN703
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for DR. KURT A DIEBOLD (MD)

  • 166 Central St

    Lowell, MA 018521910

    Phone: (978) 513-7300

    Type: Location

  • 26 WHITNEY TAVERN RD

    WESTON, MA 024932136

    Phone: (774) 270-2799

    Type: Mailing

  • 235 WOODLAND N FL 2

    LYNN, MA 019041414

    Phone: (781) 715-6608

    Type: Location

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    BURLINGTON, MA 018050001

    Phone: (781) 744-5100

    Type: Mailing

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: 2004-12-06

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
I20041206000704IInternal MedicineMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9593$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9190$0
View full utilization report →

Insurance plans in this area (ZIP 01852)

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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: 8123188117View full group profile
NameSpecialtyState
General SurgeryNJ
-MA
-MA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
G A S T R O E N T E R O L O G YMA
-MA

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Frequently asked questions

How do I look up DR. KURT A DIEBOLD (MD) by NPI?
Use NPI 1114993516 when you need to reference DR. KURT A DIEBOLD (MD) in forms, claims, or directories.
Is DR. KURT A DIEBOLD (MD) active in the national directory?
DR. KURT A DIEBOLD (MD)'s public NPI profile is in an active state.
Can you summarize DR. KURT A DIEBOLD (MD)'s specialty in plain language?
Clinically, the directory lists DR. KURT A DIEBOLD (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KURT A DIEBOLD (MD)?
The snapshot lists Lowell, Massachusetts for DR. KURT A DIEBOLD (MD); download NPPES for the complete set.
What if Lowell, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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