MARK DIETERICH M.D. NPI 1043267461

NPI Information

  • NPI: 1043267461
  • Provider Name: MARK DIETERICH, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2650 RIDGE AVE
    EVANSTON HOSPITAL RM 1210
    EVANSTON, IL
    ZIP 60201
  • Phone: (847) 570-1206

Map and Directions

Get Directions

NPI Details

Mark Dieterich, M.D. is an anatomic pathology and clinical pathology pathology in Evanston, IL with 36 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Mark Dieterich, M.D. NPI is 1043267461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

2650 RIDGE AVE
EVANSTON HOSPITAL RM 1210
EVANSTON, IL
ZIP 60201-718
Phone: (847) 570-1206
Fax: (847) 570-1248

The NPI 1043267461 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Evaluation of fine needle aspirate (HCPCS:88172)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pap test (HCPCS:88141)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)
  • Molecular pathology procedure; physician interpretation and report (HCPCS:G0452)
  • Preparation of specimen, manual (HCPCS:88381)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode (HCPCS:88177)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)

The enumeration date for this NPI number is 5/30/2006 and was last updated on 4/25/2008.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036090861ILLINOISYes

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
1F64903MEDICARE UPIN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.