Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jill Thiede , MD, RD

General Practice β€’ Camp Pendleton, CA

Active NPI 1265916167 Individual Practitioner Female Practitioner
Practice location in NPPES

H200 Mercy Circle
Camp Pendleton, CA 92055

Call 6828857960 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

H200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 6828857960

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Thiede as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Camp Pendleton and California

38 active clinicians are listed under General Practice with a practice address in Camp Pendleton, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Camp Pendleton

5.3% of these 38 clinicians have the CMS telehealth indicator.

10.5% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MO 2024034082

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Dietitian, Registered - Nutrition, Pediatric

NUCC Taxonomy Code: 133VN1004X

License # reported to NPPES TX DT85560

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License
DT85560 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Luke Cielonko , DO

Pediatrics - Pediatric Endocrinology

NPI 1578914875

Doctor of Osteopathic Medicine (D.O.)

Dr. John Dallas , MD

Pediatrics - Pediatric Endocrinology

NPI 1023123478

Doctor of Medicine (M.D.)

Dr. Alejandro De La Torre , MD

Pediatrics - Pediatric Endocrinology

NPI 1720285604

Doctor of Medicine (M.D.)

Dr. Jill Radack , MD

Pediatrics - Pediatric Endocrinology

NPI 1306036686

Doctor of Medicine (M.D.)

Laura Sapaugh , PA

Physician Assistant

NPI 1942501366

Physician Assistant

Dr. Joel Steelman , MD

Pediatrics - Pediatric Endocrinology

NPI 1790813137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 05, 2024

Recorded as JILL THIEDE, MD, RD

πŸ“
Updated Practice Location May 18, 2023

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 6828857960)

πŸ“
Updated Business Mailing Address May 18, 2023

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055

βœ…
NPI Profile Active September 18, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 18, 2018

Registered at 1500 COOPER ST, FORT WORTH, TX 761042710 (Tel: 6828857960)

πŸ“
Business Mailing Address (Initial Record) September 18, 2018

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828851860)

πŸ‘€
Provider Name / Credentials (Initial Record) September 18, 2018

Recorded as JILL THIEDE, RD, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Dietitian, Registered (license number reported to NPPES: TX DT85560)

🟒
Initial NPI Registration & Enumeration September 18, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265916167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2018
Last Update: September 05, 2024
Sole Proprietor: No

Other General Practices in Camp Pendleton

Mailing Address

H200 Mercy Circle

Camp Pendleton, CA 92055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.