Individual provider Active NPI

John Michael Tieman, M.D.

  • Dermatology Physician
  • New Braunfels, TX
National Provider Identifier
1114089844
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H3760 Issued in TX
Practice address
1584 E Common St
New Braunfels, TX 78130-3113
Phone
(800) 337-6663
Fax
(830) 608-0470
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H3760 TX Primary

Addresses

Primary practice location

1584 E Common St
New Braunfels, TX 78130-3113

Mailing address

1584 Common St
New Braunfels, TX 78130-3113
Phone (830) 609-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040609000645 TX Practitioner - Dermatology 5799768966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John M Tieman MD PAGroup PAC ID 8224011499, 2 clinicians

Practice addresses (Care Compare)

1584 E Common St
New Braunfels, TX 78130-3113

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions2089
Removal or shaving of skin growth1-10
Skin biopsy146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Tieman, MD PA Dermatology CurrentSince Jul 1, 1991 Accepting new patients

Locations

876 Loop 337
Ste 201
New Braunfels, TX 78130
Phone (830) 609-4700

1584 E Common St
New Braunfels, TX 78130
Phone (830) 609-4700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1114089844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303113",
            "telephone_number": "830-609-4700",
            "fax_number": "830-608-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303113",
            "telephone_number": "800-337-6663",
            "fax_number": "830-608-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMAN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.