Active NPI
Daniel Martin Tieva, M.D.
- Family Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8150
- Practice address
- 821 N St Ste 102
Anchorage, AK 99501-3285 - Phone
- (253) 844-4327
- NPI assigned
- Jun 14, 2011
- Last updated
- Aug 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8150 | AK | Primary |
Addresses
Primary practice location
821 N St Ste 102
Anchorage, AK 99501-3285
Mailing address
917 Pacific Ave Ste 600
Tacoma, WA 98402-4437
Phone (253) 844-4327
Other practice location 1
3260 Providence Dr Ste C436
Anchorage, AK 99508-4661
Phone (907) 212-2273
Other practice location 2
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 729-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615645 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtieva825110@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
821 N St
Suite 102
Anchorage, AK 99501-3285
Phone (253) 844-4327
Hospital & facility affiliations
- Enhabit Health Home Health
- St. Agatha Home Healthcare, LLC
- Providence at Home With Compassus Hospice Care, Anchorage
- Providence Alaska Medical Center
- Alaska Regional Hospital
- Centennial Post Acute
- Polaris Transitional Care
- Polaris Extended Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8150 | AK | MD | Family Medicine Physician |
Practice roles
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
4501 Diplomacy Dr
Anchorage, AK 99508
Phone (800) 478-3343
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327
3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327
917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495
Interoperability endpoints
- dtieva825110@ak.providencedirect.org
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Centennial Post Acute | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2024 Aug 1, 2024 |
| Polaris Transitional Care | Skilled nursing facility | Managing Control - Governing Body Adp of the SNF |
Mar 1, 2025 Mar 1, 2025 |
| Polaris Extended Care | Skilled nursing facility | Managing Control - Governing Body Adp of the SNF |
Mar 1, 2025 Mar 1, 2025 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Centennial Post Acute
- Skilled Nursing Facility
- Anchorage, AK
- NPI 1508615683
Adp of the SNF, Operational/Managerial Control
-
dba Polaris Transitional Care
- Skilled Nursing Facility
- Anchorage, AK
- NPI 1124831961
Adp of the SNF, Managing Control - Governing Body
-
- Skilled Nursing Facility
- Anchorage, AK
- NPI 1790512515
Adp of the SNF, Managing Control - Governing Body
Organizations & group practices 30
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Tacoma, WA
- NPI 1821982893
AK
-
dba BSD - McGrath
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Anchorage, AK
- NPI 1801488507
-
dba Providence at Home with Compassus Hospice Care, Anchorage
- Community Based Hospice Care Agency
- Anchorage, AK
- NPI 1114749132
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Polaris Transitional Care
- Skilled Nursing Facility
- Anchorage, AK
- NPI 1124831961
Nursing home
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
-
- Home Health Agency
- Anchorage, AK
- NPI 1669211926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1639464050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 PACIFIC AVE STE 600",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024437",
"telephone_number": "253-844-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N ST STE 102",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013285",
"telephone_number": "253-844-4327"
}
],
"practiceLocations": [
{
"address_1": "3260 Providence Dr Ste C436",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084661",
"country_code": "US",
"telephone_number": "907-212-2273",
"fax_number": "907-212-6065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4315 Diplomacy Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085926",
"country_code": "US",
"telephone_number": "907-729-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEVA",
"first_name": "DANIEL",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "8150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1615645",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtieva825110@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1389 Huffman Park Dr Ste 202",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995153534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.