DR. DOUGLAS N TIETJEN MD NPI 1679522700

NPI Information

  • NPI: 1679522700
  • Provider Name: DR. DOUGLAS N TIETJEN, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 451 NW MURRAY RD
    LEES SUMMIT, MO
    ZIP 64081
  • Phone: (816) 524-1007

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NPI Details

DR. Douglas N Tietjen, MD is a specialist in Lees Summit, MO with 32 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Douglas N Tietjen, MD NPI is 1679522700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

451 NW MURRAY RD
LEES SUMMIT, MO
ZIP 64081-425
Phone: (816) 524-1007
Fax: (816) 524-1988

The NPI 1679522700 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Urinalysis, manual test (HCPCS:81002)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Measurement of total estradiol (hormone) (HCPCS:82670)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/14/2022.

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
1174400000XSpecialist0428228KANSASNo
2174400000XSpecialist118291MISSOURIYes

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
1340016722OTHERRR MEDICARE
2205101MEDICAIDMISSOURI
325977052OTHERMISSOURIBCBS

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: 3/30/2025

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