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TY J. TIETJEN MD
NPI 1346827136
Anesthesiology in Salt Lake City, UT

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132(801) 581-6393(801) 581-4367 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Mar 26, 2021 (2 updates tracked since 2021).

About Ty J. Tietjen Md NPPES

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

TY J. TIETJEN MD (NPI 1346827136) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in Utah (12985106-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1346827136
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTY J. TIETJENCredential: MD
Location Address30 N 1900 E RM 3C444Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 3c444Salt Lake City, UT 84132-0002 · (801) 581-6393 · Fax (801) 581-4367
Phone(801) 581-6393
Fax(801) 581-4367
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1346827136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 12985106-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 N 1900 E RM 3C444, Salt Lake City, UT 84132
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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

Ty J. Tietjen Md 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 ID143604462
PECOS Enrollment IDI20250624002793
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.

Hospital Affiliations CMS Care Compare

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

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

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.

AARON SMITH MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3622
DR. KATHERINE LEIGH KONIUCH M.D.
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
RYAN C. GRAHAM MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3622
TRACY WANXI LIAN MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
AARON J. ROSENBAUM MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3622
ZACHARY A. LEE M.D.
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-1771
SIERRA A. MASTRANTONIO MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3622
JACK A. DUBUQUE MD
Anesthesiology
30 N 1900 E RM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3622

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 Ty Tietjen's NPI number?

The NPI number for Ty Tietjen is 1346827136. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Ty Tietjen located?

Ty Tietjen practices at 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132. The listed phone number is (801) 581-6393.

What is Ty Tietjen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ty Tietjen enrolled in Medicare?

Yes. Ty Tietjen 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.

Is Ty Tietjen affiliated with any hospitals?

According to CMS data, Ty Tietjen is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Ty Tietjen was last updated on August 18, 2022. 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.