Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kenneth Deitch, DO

Individual provider Emergency Medicine Physician · NPI 1558300855

Kenneth Deitch, DO practises Emergency Medicine in Phila, Pennsylvania. Qualified in 1999, 27 years ago. Practices with Emergency Physicians Integrated Care LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 E Olney Ave Ste 400
Phila, PA 19120-2421 Not confirmed with CMS for 14 years — call before visiting
Phone: (215) 456-7000
Fax: (215) 254-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS012659 (PA)

Record details

NPI number1558300855
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESNovember 11, 2011

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Emergency Physicians Integrated Care Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients77
Services billed 97 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mountain West Medical Center Hospital · Tooele, UT
  • St Mark'S Hospital Hospital · Salt Lake City, UT

Colleagues at Emergency Physicians Integrated Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 203 clinicians in the practice; 12 are shown here.

Other providers in Phila