SAMUEL HIETANEN
NPI 1760344964
Anesthesiologist Assistant in Dayton, OH

Q: What is Samuel Hietanen's NPI number?

The NPI number for Samuel Hietanen is 1760344964. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Q: What is Samuel Hietanen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Hietanen was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 November 26, 2025Accepts Medicare Assignment

1 WYOMING ST, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Samuel Hietanen NPPES

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

SAMUEL HIETANEN (NPI 1760344964) is an individual anesthesiologist assistant in Dayton, Ohio and active in the NPI registry since November 2025. He is affiliated with Miami Valley Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760344964

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameSAMUEL HIETANEN

Location Address1 WYOMING STDayton, OH 45409-2722

Mailing Address6144 Strawberry CirCommerce Township, MI 48382-5511

Phone(937) 208-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 26, 2025

NPPES CertifiedNovember 26, 2025

✔ NPI 1760344964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1 WYOMING ST, Dayton, OH 45409

Open in Google Maps ↗

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

Samuel Hietanen 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 ID9234611815

PECOS Enrollment IDI20260303003624

Medicare Billing Reassignment

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

Phs Anesthesia Billing, LLC

18 mi

Anesthesiology

1 MEDICAL CENTER DR
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
299 clinicians in this Medicare group

NPI 1578361044 (513) 974-2111

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

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery 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.

DANIEL NGUYEN

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3882

KATHY WAYMIRE CRNA

Nurse Anesthetist, Certified Registered

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (800) 394-4445

DR. RORY JON PEPPARD M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409

Montgomery County (937) 208-2907

DR. DANIEL PHILLIP PITSTICK D.O.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3356

DR. WILLIAM R. MARRIOTT M.D.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (513) 281-4400

MIAMI VALLEY HOSPITAL

Psychiatric Unit

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-8000

LEILA CONSTANCE TOU

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-2866

DR. JARED COTTINGIM RPH

Pharmacist

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3195

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 Samuel Hietanen's NPI number?

The NPI number for Samuel Hietanen is 1760344964. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Samuel Hietanen located?

Samuel Hietanen practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Samuel Hietanen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Samuel Hietanen enrolled in Medicare?

Yes. Samuel Hietanen 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 Samuel Hietanen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hietanen reassigns Medicare benefits to Phs Anesthesia Billing, LLC (Middletown, OH). 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 Samuel Hietanen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Hietanen affiliated with any hospitals?

According to CMS data, Samuel Hietanen is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Hietanen was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.