Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dietrich Gravenstein, MD

Individual provider Anesthesiology Physician · NPI 1174540165

Dietrich Gravenstein, MD is an Anesthesiology in Philadelphia, Pennsylvania. Graduated from University of Florida College of Medicine in 1989, 37 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
37
Trained at
University of Florida College of Medicine
Licensed in
FL, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 11th St Ste 8490
Philadelphia, PA 19107-4824
Phone: (215) 955-6161
Fax: (215) 923-5507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD451666 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence ME64324 (FL)

Record details

NPI number1174540165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESNovember 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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