Active NPI
Tien Thach, MD
- Anesthesiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD 60147196
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mercyone Waterloo Medical Center
- Waverly Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0000282 | CO | MD | Anesthesiology Physician |
| 18826 | IL | MD | Anesthesiology Physician |
| MD 60147196 | WA | MD | Anesthesiology Physician |
| ML20008755 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Anesthesia, PS | Anesthesiology | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | 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
- tthach926300@direct.unitypoint.org
- 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.
-
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
-
- Anesthesiology Physician
- Bellevue, WA
- NPI 1831146422
-
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.