DIETRICH JEHLE (MD) – Emergency Medicine Physician, NPI 1669437141

DIETRICH JEHLE (MD) is a healthcare provider. based in Galveston, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME115142 (FL). The NPI Number for DIETRICH JEHLE (MD) is 1669437141

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DIETRICH JEHLE (MD)
NPI
1669437141
Phone
(716) 472-4094
Address
2201 MARKET ST STE 1007
Enumeration Date
19 April 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
9549395000
Graduation Year
1979 (47 years ago)
PAC ID
5395647226
Group Practice PAC ID
4789738360
Professional Enrollment ID
I20211108002947
Address ID
TX775550100GA301XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DIETRICH JEHLE (MD)

  • 2201 MARKET ST STE 1007

    GALVESTON, TX 775501529

    Phone: (716) 472-4094

    Type: Mailing

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775553021

    Phone: (716) 472-4094

    Type: Location

  • Erie County Medical Center, 462, Grider Street, Buffalo, Erie County, New York, 14215, United States

    BUFFALO, NY 142153021

    Phone: (716) 898-3000

    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: 2021-11-08

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
I20211108002947IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making3736$0
99284Emergency department visit with moderate level of medical decision making3433$0
View full utilization report →

Insurance plans in this area (ZIP 77550)

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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: 4789738360View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineID
Emergency MedicineMS
Emergency MedicineNY
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineTX
Emergency MedicineAZ
Internal Medicine, Emergency MedicineTX
Emergency MedicineWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIETRICH JEHLE (MD)?
DIETRICH JEHLE (MD) — NPI 1669437141 — is the standard way to identify this listing.
Is DIETRICH JEHLE (MD) listed as active for patients and plans?
The listing shows DIETRICH JEHLE (MD) as active in the NPI system.
What is DIETRICH JEHLE (MD)'s specialty?
The listing groups DIETRICH JEHLE (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DIETRICH JEHLE (MD) list a practice location?
Patients near Galveston, Texas may find DIETRICH JEHLE (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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