MITCHELL TIEDKE PA
NPI 1033719745
Physician Assistant - Surgical in Englewood, CO
About Mitchell Tiedke Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL TIEDKE PA (NPI 1033719745) is an individual surgical provider in Englewood, Colorado, licensed in Colorado (PA.0006543) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitchell Tiedke Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mitchell Tiedke's NPI number?
The NPI number for Mitchell Tiedke is 1033719745. It was assigned to this individual provider in the NPPES registry on October 30, 2020.
Where is Mitchell Tiedke located?
Mitchell Tiedke practices at 3501 S Clarkson St, Englewood, CO 80113. The listed phone number is (763) 381-7160.
What is Mitchell Tiedke's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mitchell Tiedke enrolled in Medicare?
Yes. Mitchell Tiedke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mitchell Tiedke accept?
Health plans from Medica and UnitedHealthcare list Mitchell Tiedke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mitchell Tiedke was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mitchell Tiedke, PA · NPI 1033719745
Surgical physician in Englewood, Colorado. Individual provider, active in the CMS NPPES registry since October 30, 2020.
## Identity
- **NPI:** 1033719745 (Entity type: Individual)
- **Enumerated:** October 30, 2020
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA.0006543 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 S CLARKSON ST, Englewood, CO 80113-3916
- **Phone:** (763) 381-7160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033719745) · Data from the CMS NPPES public registry.