BLAKE TIEDTKE DPT
NPI 1922248566
Physical Medicine & Rehabilitation in Cedar Rapids, IA
About Blake Tiedtke Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE TIEDTKE DPT (NPI 1922248566) is an individual physical medicine & rehabilitation provider in Cedar Rapids, Iowa, licensed in Iowa (004341) and active in the NPI registry since February 2009. He is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Blake Tiedtke Dpt 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.
Medicare Billing Reassignment
Medicare enrollment records show Blake Tiedtke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar Rapids, IA 52498
- Reassigned Medicare billing, Iowa enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blake Tiedtke's NPI number?
The NPI number for Blake Tiedtke is 1922248566. It was assigned to this individual provider in the NPPES registry on February 23, 2009.
Where is Blake Tiedtke located?
Blake Tiedtke practices at 645 32nd Ave SW Ste A, Cedar Rapids, IA 52404. The listed phone number is (319) 363-2901.
What is Blake Tiedtke's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Blake Tiedtke enrolled in Medicare?
Yes. Blake Tiedtke 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 Blake Tiedtke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Tiedtke reassigns Medicare benefits to Match Play Tennis Centers, Inc. (Cedar Rapids, IA). 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 Blake Tiedtke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blake Tiedtke accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Blake Tiedtke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blake Tiedtke was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.