DR. JOHN R DIETLEIN (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1447226717

Geriatric Medicine (Family Medicine) Physician

DR. JOHN R DIETLEIN (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 83-169963-1205 (UT). The NPI Number for DR. JOHN R DIETLEIN (M.D.) is 1447226717

Main info

Male

51 Years Of Experience

Accepts Medicare Assignment

Name

DR. JOHN R DIETLEIN (M.D.)

NPI

1447226717

Phone

(801) 944-0095

Address

PO BOX 712270

Enumeration Date

27 February 2006

Last Update Date

19 October 2007

Doctor Profile

Medical School Name

UNIVERSITY OF NEVADA SCHOOL OF MEDICINE

Secondary Phone

8019440095

Graduation Year

1975 (51 years ago)

PAC ID

1355329459

Group Practice PAC ID

8123368925

Professional Enrollment ID

I20040714001140

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JOHN R DIETLEIN (M.D.)

PO BOX 712270
SALT LAKE CITY, UT 841712270
Phone: (801) 944-0095
Type: Mailing
6886 HOLLOW MILL DR
SALT LAKE CITY, UT 841213322
Phone: (801) 944-0095
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 84171)

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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: 8123368925View full group profile

Name	Specialty	State
SAMANTHA HOWARD	Nurse Practitioner	UT
LAURA CHAMBERLAIN (NP-C)	-	UT
DANIEL CALVILLO (FNP-BC)	Nurse Practitioner	UT
TYLER BARNEY	Nurse Practitioner	UT
MRS. KIM I BEUS (FNP-C)	-	UT
MRS. SARAH ELAINE FIGORSKI (NP)	Nurse Practitioner	UT
DR. MAHANA S FISHER (M.D.)	Family Practice	UT
KELLY ANN CLARK (FNP)	Nurse Practitioner	MO
MRS. APRIL CHRISTINE PETERSON (APRN, FNP-BC)	-	UT
CHELSIE FRANQUE HARRIS (APRN, FNP-C)	General Practice	UT

Reviews

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Frequently asked questions

How is DR. JOHN R DIETLEIN (M.D.) identified in CMS data?

CMS-hosted NPPES data lists DR. JOHN R DIETLEIN (M.D.) with NPI 1447226717.

Is DR. JOHN R DIETLEIN (M.D.) listed as active for patients and plans?

The listing shows DR. JOHN R DIETLEIN (M.D.) as active in the NPI system.

What is DR. JOHN R DIETLEIN (M.D.)'s specialty?

The listing groups DR. JOHN R DIETLEIN (M.D.) with Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.

Does DR. JOHN R DIETLEIN (M.D.) list a practice location?

Patients near Salt Lake City, Utah may find DR. JOHN R DIETLEIN (M.D.) in results; validate coverage separately.

Why does DR. JOHN R DIETLEIN (M.D.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.