DR. ECKHART DIESTEL MD NPI 1649207937

NPI Information

NPI: 1649207937
Provider Name: DR. ECKHART DIESTEL, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Address:
1855 S MAIN ST STE A
GOSHEN, IN
ZIP 46526
Phone: (574) 533-7476
Get Directions

DR. Eckhart Diestel, MD is an interventional cardiology internal medicine in Goshen, IN. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Eckhart Diestel, MD NPI is 1649207937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1855 S MAIN ST STE A
GOSHEN, IN
ZIP 46526-845
Phone: (574) 533-7476
Fax: (574) 533-7145

The enumeration date for this NPI number is 6/26/2006 and was last updated on 3/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	13525	HAWAII	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	01047079A	INDIANA	No
3	207R00000X	Internal Medicine		01047079A	INDIANA	No
4	207RI0011X	Internal Medicine	Interventional Cardiology	01047079A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000256560	OTHER	HAWAII	BLUE CROSS
2	575508	MEDICAID	HAWAII
3	184520020	MEDICARE PIN	INDIANA
4	852791	OTHER	INDIANA	ANTHEM
5	H102627	MEDICARE UPIN	HAWAII
6	201207610	MEDICAID	INDIANA
7	H73420	MEDICARE UPIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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