Dorota Maria Dietz, PA-C
NPI 1164708111ActiveIndividual· Physician Assistant· Mesa, AZ
Physician Assistant (PA-C) in Mesa, Arizona, licensed in AZ, with an NPI issued in October 2011. Enrolled in Medicare as practitioner - physician assistant. Abbott Laboratories was the largest of 3 companies reporting payments in 2024, $553.57 in all, mostly food and beverage. Lists Banner Desert Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164708111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 21, 2011 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4994 | AZ |
| Surgery | 208600000X | 4994 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliations
- Banner Desert Medical CenterMesa, AZ
- Banner Heart HospitalMesa, AZ
Industry payments (Open Payments)
- 2024$553.57 · 9 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $479.46 | 6 |
| Medtronic, Inc. | $52.52 | 2 |
| Ethicon US, LLC | $21.59 | 1 |
What the 2024 payments were for
- Food and Beverage$553.57 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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