Organization Active NPI

Tieh Medical Group, PLLC

  • Pediatrics Physician
  • Cypress, TX
National Provider Identifier
1821685496
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TIEH MEDICAL GROUP, PLLC
Doing business as
Kids First Pediatrics
Practice address
7025 Fry Rd Ste 200
Cypress, TX 77433-8152
Phone
(832) 975-7288
Fax
(832) 975-7287
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Peter Tieh, MDNPI 1538486188
Title
Owner/President
Phone
(832) 434-8286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X

Addresses

Primary practice location

7025 Fry Rd Ste 200
Cypress, TX 77433-8152

Mailing address

3811 Alder Pass CT
Katy, TX 77449-7501

Other names 1

  • Kids First Pediatrics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pending Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513000503 TX Part B Supplier - Clinic/Group Practice 9032528591 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2232666Tieh Medical Group, PLLC Dba Kids First Pediatrics7025 Fry Rd Suite 200, Cypress, TX 77433Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

7025 Fry Rd
Ste 200
Cypress, TX 77433
Phone (832) 975-7288

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1821685496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ALDER PASS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 FRY RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774338152",
            "telephone_number": "832-975-7288",
            "fax_number": "832-975-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIEH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "TIEH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "832-434-8286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pending",
            "affiliation": "N",
            "endpointDescription": "pending",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7025 Fry Rd Ste 200",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774338152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kids First Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.