MRS. JENNY TIEN DIEP (MD) – Rheumatology Physician, NPI 1225132533

MRS. JENNY TIEN DIEP (MD) is a healthcare provider. based in Bangor, Maine. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. MD25099 (ME). The NPI Number for MRS. JENNY TIEN DIEP (MD) is 1225132533

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNY TIEN DIEP (MD)
NPI
1225132533
Phone
(207) 907-3370
Address
900 Broadway
Enumeration Date
8 September 2006
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
2079073777
Graduation Year
2001 (25 years ago)
PAC ID
8527074525
Group Practice PAC ID
6406766336
Professional Enrollment ID
I20211027000432
Address ID
ME044011900BA900XXBROA200
Telehealth
Yes

Contacts

Secure Messaging
jdiep1522487@direct-prd.goodhelpconnections.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

31 RHEUMATOLOGY in ME

Provider Addresses for MRS. JENNY TIEN DIEP (MD)

  • 900 Broadway

    Bangor, ME 044011900

    Phone: (207) 907-3370

    Fax: (207) 907-1189

    Type: Location

  • 1088, Park Avenue, Carnegie Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10128, United States

    NEW YORK, NY 101281132

    Phone: (212) 860-4000

    Fax: (212) 722-7365

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211027000432IRheumatologyMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10170$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406766336View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Internal MedicineME
Family PracticeME
G A S T R O E N T E R O L O G YME
Internal MedicineME
G A S T R O E N T E R O L O G YME
Physician AssistantME
Pulmonary Disease, Critical Care (Intensivists)ME
Orthopedic SurgeryNY
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JENNY TIEN DIEP (MD)?
MRS. JENNY TIEN DIEP (MD) — NPI 1225132533 — is the standard way to identify this listing.
Is MRS. JENNY TIEN DIEP (MD) still practicing?
MRS. JENNY TIEN DIEP (MD) is currently listed as active in the public NPI registry.
What is MRS. JENNY TIEN DIEP (MD)'s specialty?
The listing groups MRS. JENNY TIEN DIEP (MD) with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JENNY TIEN DIEP (MD) on a map?
Expect Bangor, Maine as a primary anchor for MRS. JENNY TIEN DIEP (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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