DIMITRI SAGWO TCHIENGA
NPI 1528404233
General Practice in Miami, FL

Active since May 21, 2013PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1280 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Dimitri Sagwo Tchienga NPPES

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

DIMITRI SAGWO TCHIENGA (NPI 1528404233) is an individual general practice provider in Miami, Florida, licensed in Florida (ME175758) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528404233
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDIMITRI SAGWO TCHIENGA
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address7826 Eastern Ave NwWashington, DC 20012-1324 · (202) 545-1630
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2013
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1528404233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME175758
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedHome Health AideTaxonomy 374U00000X
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dimitri Sagwo Tchienga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113461096
PECOS Enrollment IDI20260328000509
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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Dimitri Tchienga's NPI number?

The NPI number for Dimitri Tchienga is 1528404233. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Dimitri Tchienga located?

Dimitri Tchienga practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1280.

What is Dimitri Tchienga's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dimitri Tchienga enrolled in Medicare?

Yes. Dimitri Tchienga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dimitri Tchienga was last updated on March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.