Active NPI
Jennifer Tieman, M.D.
- Family Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011011569
- Practice address
- 6675 Holmes Rd
Suite 360
Kansas City, MO 64131-1150 - Phone
- (816) 276-7600
- Fax
- (816) 276-7992
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036103562 | IL | |
| Family Medicine Physician | 207Q00000X | 2011011569 | MO | Primary |
Addresses
Primary practice location
6675 Holmes Rd
Suite 360
Kansas City, MO 64131-1150
Mailing address
6675 Holmes Rd
Suite 450
Kansas City, MO 64131-1150
Phone (816) 276-7600
Other practice location 1
298 Randall Rd
Geneva, IL 60134-4203
Phone (630) 938-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JENNIFER.TIEMAN@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Chicago, Pritzker School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
298 Randall Rd
Geneva, IL 60134-4203
Phone (630) 208-3000
Hospital & facility affiliations
- DMJ Home Health Services, Inc
- Resilience Home Health, LLC
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Copley Memorial Hospital
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine McHenry
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
298 Randall Rd
Geneva, IL 60134
Phone (630) 938-3300
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- jennifer.tieman@hca2.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- Home Health Agency
- Aurora, IL
- NPI 1154532315
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- Home Health Agency
- Aurora, IL
- NPI 1912107517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1841214012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 HOLMES RD",
"address_2": "SUITE 450",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311150",
"telephone_number": "816-276-7600",
"fax_number": "816-276-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 HOLMES RD",
"address_2": "SUITE 360",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311150",
"telephone_number": "816-276-7600",
"fax_number": "816-276-7992"
}
],
"practiceLocations": [
{
"address_1": "298 Randall Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344203",
"country_code": "US",
"telephone_number": "630-938-3300",
"fax_number": "630-938-3310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEMAN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036103562",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2011011569",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JENNIFER.TIEMAN@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "6675 Holmes Rd",
"address_2": "SUITE 360",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641311150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.