Patrick T Tiedeken, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-025186E Issued in PA

Practice address

2170 Noll Dr Ste 400
Lancaster, PA 17603-7609

Phone

(717) 417-8950

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Perelman School of Med at the University of Pennsylvania, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
• Wellspan York Hospital Hospital, York, PA, CCN 390046

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ptiedeken@imgpc.medentdirect.com

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.

• Integrated Medical Group P C

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1336102268
  Medicare reassignment Care Compare group NPD
• Integrated Medical Group P C

  • Surgery Physician
  • Pottsville, PA
  • NPI 1417911819
  NPD
• Integrated Medical Group, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Reading, PA
  • NPI 1881341303
  NPD

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

• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1013994805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 NOLL DR STE 400",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037609",
            "telephone_number": "717-417-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 NOLL DR STE 400",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037609",
            "telephone_number": "717-417-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDEKEN",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD-025186E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sarah Thurber, LCP, NBCC
• John Thurber, M.A.
• James C Thurmond, MD
• Kim Thvedt
• Megan Tiburtini, O.D.
• Thomas Tien, M.D.
• Kathleen Renee Timalonis
• Janice C Tindall, M.D.
• Alyssa Marie Tisdale
• Mark Joseph Titi, MD

• Ophthalmology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.

Verify at the official NPI Registry.