NINA TIEU
NPI 1114556495
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Nina Tieu's NPI number?

The NPI number for Nina Tieu is 1114556495. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Nina Tieu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Tieu was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 07, 2020PECOS Enrolled

5131 BEACON HILL RD STE 340, COLUMBUS, OH 43228(614) 544-1006(614) 544-1701 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2020, Apr 8, 2020 (2 updates tracked since 2020).

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About Nina Tieu NPPES

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

NINA TIEU (NPI 1114556495) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114556495

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNINA TIEU

Location Address5131 BEACON HILL RD STE 340Columbus, OH 43228-4442

Mailing Address5131 Beacon Hill Rd Ste 340Columbus, OH 43228-4442 · (614) 544-1006 · Fax (614) 544-1701

Phone(614) 544-1006

Fax(614) 544-1701

Sole ProprietorNo

Enumeration DateApril 7, 2020

Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration

NPPES CertifiedApril 23, 2020

✔ NPI 1114556495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

5131 BEACON HILL RD STE 340, Columbus, OH 43228

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina Tieu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nina Tieu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,944 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

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

Other Providers at the Same Location NPPES 12

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

DR. ELIZABETH JACOBS DO