ANN MARIE DIETRICH (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1972505915
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANN MARIE DIETRICH (MD)
555, 18th Street, Columbus, Muscogee County, Georgia, 31901, United States
COLUMBUS, OH 432052654
Phone: (614) 722-4867
Fax: (614) 722-4380
Type: Mailing
701 GROVE RD FL 1
GREENVILLE, SC 296054210
Phone: (864) 455-7899
Fax: (864) 455-5474
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-4867
Fax: (614) 722-4380
Type: Location
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone: (864) 522-8603
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: 2021-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210826002334 | I | Pediatric Medicine | SC | TBD |
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.
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 43205)
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