Individual provider Active NPI

Tien Thach, MD

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1013099530
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD 60147196 Issued in WA
Practice address
1100 9TH Ave
Seattle, WA 98101-2756
Phone
(206) 223-6980
Fax
(206) 223-6982
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18826 IL
Anesthesiology Physician 207L00000X CDR.0000282 CO
Internal Medicine Physician 207R00000X ML20008755 WA
Anesthesiology Physician 207L00000X MD 60147196 WA Primary

Addresses

Primary practice location

1100 9TH Ave
Seattle, WA 98101-2756

Mailing address

1100 9TH Ave
M4-PFS
Seattle, WA 98101-2756
Phone (206) 223-6600

Other practice location 1

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone (206) 240-1879

Other practice location 2

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone (206) 240-1879

Other practice location 3

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919002366 IA Practitioner - Anesthesiology 3173719846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

3421 W 9TH St
Mercyone Waterloo Medical Center
Waterloo, IA 50702-5401
Phone (319) 272-7050

Hospital & facility affiliations

  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0000282COMDAnesthesiology Physician
18826ILMDAnesthesiology Physician
MD 60147196WAMDAnesthesiology Physician
ML20008755WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Anesthesia, PS Anesthesiology CurrentSince Aug 1, 2010 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Covenant Medical Center Inc CurrentSince Sep 16, 2019 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 16, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Dec 19, 2022 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

Interoperability endpoints

  • Direct secure messaging: tthach926300@direct.unitypoint.org
  • Direct secure messaging: tthach3937372@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1013099530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "M4-PFS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6980",
            "fax_number": "206-223-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "206-240-1879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "206-240-1879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St Ste 2508",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80909",
            "country_code": "US",
            "telephone_number": "719-365-6999",
            "fax_number": "719-365-2837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACH",
        "first_name": "TIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "18826",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "CDR.0000282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "ML20008755",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD 60147196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.