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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVE TIEN M.D.
NPI 1053319657
Internal Medicine - Nephrology in South Salt Lake, UT

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115(801) 288-2634(801) 288-1186 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2026, May 3, 2024, Mar 25, 2021 (3 updates tracked since 2021).

About Dr. Dave Tien M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVE TIEN M.D. (NPI 1053319657) is an individual nephrology provider in South Salt Lake, Utah, licensed in Utah (3788925-1205) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053319657
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DAVE TIENCredential: M.D.
Location Address3702 S STATE ST STE 107South Salt Lake, UT 84115-5096
Mailing Address3702 S State St Ste 107South Salt Lake, UT 84115-5096 · (801) 288-2634 · Fax (801) 288-1186
Phone(801) 288-2634
Fax(801) 288-1186
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1996
Enumeration DateJuly 8, 2005
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1053319657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 3788925-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 3788925-1205 (UT)
3702 S STATE ST STE 107, South Salt Lake, UT 84115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14101 W Pioneer Pkwy Ste 103West Valley, UT 84120-2050 · Phone (801) 288-2634 · Fax (801) 288-1186
Location 23823 W 9000 SWest Jordan, UT 84088-5603 · Phone (801) 288-2634 · Fax (801) 288-1186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dave Tien M.d. 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.

PECOS PAC ID7113066002
PECOS Enrollment IDI20100715000923
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dave Tien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of Utah LLC
Same address
Nephrology
3702 S STATE ST STE 107
Salt Lake City, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 32 clinicians in this Medicare group
NPI 1750473948 (801) 288-2634

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
257 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services117 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
111 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
13 suppliers119 claims10,890 services$0.29 avg. paid by Medicare
Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg J7508
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims6,500 services$0.39 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers65 claims9,750 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
13 suppliers109 claims11,820 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,800 services$0.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
15 suppliers111 claims111 services$18.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN L JANSEN M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
JENNIFER MICHELLE SORTO NP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
JENNIFER NICOLE TWOHIG DNP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZUBAIR BARBACENA SAEED ZAFAR MD
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZHAN WANG
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
CLAUDIA-DENISE HAIVAS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SALT LAKE CITY, UT 84115
Salt Lake County (801) 288-2634
DONALD ROBERT MORRIS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
CAROLINE CHAU QUACH
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634

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 Dave Tien's NPI number?

The NPI number for Dave Tien is 1053319657. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Dave Tien located?

Dave Tien practices at 3702 S State St Ste 107, South Salt Lake, UT 84115. The listed phone number is (801) 288-2634.

What is Dave Tien's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dave Tien enrolled in Medicare?

Yes. Dave Tien 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.

Which organization bills Medicare for Dave Tien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dave Tien reassigns Medicare benefits to Nephrology Associates Of Utah LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dave Tien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dave Tien accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Dave Tien 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.

Is Dave Tien affiliated with any hospitals?

According to CMS data, Dave Tien is affiliated with Lds Hospital, Intermountain Medical Center, St Mark's Hospital, Holy Cross Hospital-Jordan Valley and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Dave Tien was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.