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KEVIN WELLS TIEN MD
NPI 1932631108
Pediatrics - Pediatric Hematology-Oncology in Fort Worth, TX

Active since March 28, 2017PECOS Enrolled
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4007(682) 885-1712 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Jul 30, 2024, Mar 17, 2020 and 1 more (4 updates tracked since 2017).

About Kevin Wells Tien Md NPPES

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

KEVIN WELLS TIEN MD (NPI 1932631108) is an individual pediatric hematology-oncology provider in Fort Worth, Texas, licensed in Texas (S6072) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932631108
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameKEVIN WELLS TIENCredential: MD
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-4007
Fax(682) 885-1712
Sole ProprietorNo
Enumeration DateMarch 28, 2017
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1932631108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · S6072
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License BP10059985 (TX)
1500 COOPER ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Wells Tien Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Cook Children's Physician Network
Same address
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

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.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Kevin Tien's NPI number?

The NPI number for Kevin Tien is 1932631108. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Kevin Tien located?

Kevin Tien practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-4007.

What is Kevin Tien's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kevin Tien enrolled in Medicare?

Yes. Kevin Tien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Tien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Tien reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). 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 Kevin Tien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Tien accept?

Health plans from Imperial Insurance Companies, Inc. list Kevin Tien 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 Kevin Tien was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.