SAMUEL HIETANEN
NPI 1760344964
Anesthesiologist Assistant in Dayton, OH

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: August 16, 2026.

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
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

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

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

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.

Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Pharmacist
1 WYOMING ST
DAYTON, OH 45409

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.

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 8 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.