Kenneth Dietrich, M.D., MBA
NPI 1245288752 · Pediatric Critical Care Medicine Physician · Elma, WA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Dietrich, M.D., MBA is a Pediatric Critical Care Medicine Physician provider in Elma, WA (NPI 1245288752).
Provider details
- NPI number
- 1245288752
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., MBA
- Sex
- Male
- Sole proprietor
- No
- License
- 27133 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 314 Martin Luther King Jr WaySuite 9Tacoma, WA 98405-4250Phone: (253) 403-1511
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2019-04-04
Frequently asked questions
- What is Kenneth Dietrich's NPI number?
- Kenneth Dietrich's National Provider Identifier (NPI) is 1245288752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Dietrich's specialty?
- Kenneth Dietrich is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Dietrich located?
- Kenneth Dietrich's practice location on file with NPPES is 600 E Main St, Elma, WA 98541-9560.
- What is Kenneth Dietrich's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Dietrich is (360) 346-2240.
- Does Kenneth Dietrich accept Medicare?
- Kenneth Dietrich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Dietrich's NPI active?
- Yes — Kenneth Dietrich's NPI (1245288752) is active in the NPPES registry as of the last update on 2019-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.