Individual provider Active NPI

Andrew L Tievsky, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1861458788
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
49773 Issued in AZ
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD430320 PA
Diagnostic Radiology Physician 2085R0202X 49773 AZ Primary
Diagnostic Radiology Physician 2085R0202X 35082746 OH
Diagnostic Radiology Physician 2085R0202X ME116705 FL

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031110000750 TX Practitioner - Diagnostic Radiology 6507779048 Reassigns benefits to 3 organizations
I20150516000100 AZ Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6507779048 Reassigns benefits to 6 organizations
I20190205003334 MT Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6507779048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85259
Phone (570) 214-9907

11558 N 120TH St
Scottsdale, AZ 85259-3238
Phone (952) 595-1100

12338 N 138TH PL
Scottsdale, AZ 85259-2304
Phone (520) 665-1720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13341NVMDPharmacotherapy Pharmacist
35082746OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Ton San Simon Health Center CurrentSince Mar 6, 2017 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Feb 1, 2022 Accepting new patients
Sidney Health Center Current Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 14, 2019 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Mar 6, 2017 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 6, 2017 Accepting new patients
Ton Sells Hospital CurrentSince Mar 6, 2017 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 28, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 28, 2019 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Mar 6, 2017 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Greene Medical Imaging PC Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

30 13th St
Havre, MT 59501
Phone (406) 262-1302

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1861458788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEVSKY",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD430320",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "49773",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35082746",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME116705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.