Myles Eldon Tieszen, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

64861 Issued in MN

Practice address

1601 Sioux Valley Dr
Luverne, MN 56156

Phone

(507) 283-4476

Fax

(507) 283-9086

NPI assigned

May 16, 2006

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, IA, MN, SD4 enrollments

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 4

Specialty

General Surgery

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Chamberlain Medical Center Hospital, Chamberlain, SD, CCN 431329
• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381
• Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mtieszen23997@direct.nebraskamed.com
• Direct secure messaging: mtieszen8624@achce.catholichealth.net
• Direct secure messaging: myles.tieszen@avera.sdhealthlink.net

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

• Sanford Health Network

  dba Sanford Luverne Medical Center

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1497703045
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment NPD
• Sanford Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1255353934

  IA

  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Health Lake Park Clinic

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clear Lake Medical Center

  • Critical Access Hospital
  • Clear Lake, SD
  • NPI 1851305296
  Medicare reassignment NPD
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  IA, Surgery

  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332

  Surgery

  NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD

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

• Sanford Health Network

  dba Sanford Chamberlain Medical Center

  • Critical Access Hospital
  • Chamberlain, SD
  • NPI 1134140825
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Aberdeen Medical Center

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1235406455
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Aberdeen Cardiology

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1639423957
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Chamberlain Clinic

  • Critical Access Hospital
  • Chamberlain, SD
  • NPI 1952687295
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1063464683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SIOUX VALLEY DR",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561564500",
            "telephone_number": "507-283-4476",
            "fax_number": "507-283-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SIOUX VALLEY DR",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "56156",
            "telephone_number": "507-283-4476",
            "fax_number": "507-283-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Mercy Dr",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515033128",
            "country_code": "US",
            "telephone_number": "712-388-2660",
            "fax_number": "712-388-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Mercy Dr",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515033128",
            "country_code": "US",
            "telephone_number": "712-388-2660",
            "fax_number": "712-388-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIESZEN",
        "first_name": "MYLES",
        "middle_name": "ELDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "3813",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "38654",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "64861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46045455601",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7300264",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Mary Jane Brown)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)
• Jennifer L Thone, MD
• Terry Thone
• Devin Lynn Thorson, MS, LPCC, LADC
• Kaitlyn Marie Vajgrt, LADC, LSW
• Rachelle Dawn Vandegriend, CNP
• Wrede Evan Vogel, MD
• Philip Voigt, LICSW
• Suzie Ann Walgrave, NP

• Surgery Physician in Luverne, MN
• Providers in Luverne, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.