MEGAN DIETRICH (PA) – Physician Assistant, NPI 1548405533

MEGAN DIETRICH (PA) is a healthcare provider. based in Farmington hills, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601005452 (MI). The NPI Number for MEGAN DIETRICH (PA) is 1548405533

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN DIETRICH (PA)
NPI
1548405533
Phone
(248) 851-1430
Address
29992 NORTHWESTERN HWY STE C
Enumeration Date
5 December 2008
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488582270
Graduation Year
2008 (18 years ago)
PAC ID
1850456294
Group Practice PAC ID
8426464884
Professional Enrollment ID
I20090218000268
Address ID
MI483415023PO44405AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MEGAN DIETRICH (PA)

  • Northwestern Highway, Farmington Hills, Oakland County, Michigan, 48334, United States

    FARMINGTON HILLS, MI 483343292

    Phone: (248) 851-1430

    Fax: (248) 851-5182

    Type: Mailing

  • West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736710

    Phone: (248) 288-4500

    Fax: (248) 288-0450

    Type: Location

  • 44405 WOODWARD AVE

    PONTIAC, MI 483415023

    Phone: (248) 758-7150

    Fax: (248) 858-3918

    Type: Mailing

  • 24 FRANK LLOYD WRIGHT DRIVE

    SUITE J2000

    ANN ARBOR, MI 48105

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • 44555 WOODWARD AVE

    SUITE 305

    PONTIAC, MI 48341

    Phone: (248) 858-3812

    Fax: (248) 858-3815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($69).

Total Amount

$120

General + Research + Ownership

Payments

4

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-02-18

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
I20090218000268IPhysician AssistantMITBD

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 48334)

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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: 8426464884View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryMI
O B S T E T R I C S/ G Y N E C O L O G YMI
N E U R O S U R G E R YMI
N E U R O S U R G E R YMI
Thoracic Surgery, General SurgeryNY
Nurse PractitionerMI
N E U R O S U R G E R YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Internal Medicine, Hematology/OncologyMI

Reviews

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Frequently asked questions

Is there an official ID for MEGAN DIETRICH (PA) in U.S. healthcare records?
The official identifier for MEGAN DIETRICH (PA) is NPI 1548405533.
Would MEGAN DIETRICH (PA) appear as active to a payer?
You can treat MEGAN DIETRICH (PA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MEGAN DIETRICH (PA)?
MEGAN DIETRICH (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MEGAN DIETRICH (PA)?
Directory geography for MEGAN DIETRICH (PA) centers on Farmington Hills, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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