STEPHEN R HIETALA (MD) – Family Medicine Physician, NPI 1710905351

STEPHEN R HIETALA (MD) is a healthcare provider. based in Perham, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 28147 (MN). The NPI Number for STEPHEN R HIETALA (MD) is 1710905351

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN R HIETALA (MD)
NPI
1710905351
Phone
(218) 347-1200
Address
665 3RD ST SW
Enumeration Date
18 July 2006
Last Update Date
17 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
0941497473
Group Practice PAC ID
2264327766
Professional Enrollment ID
I20101209001315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STEPHEN R HIETALA (MD)

  • 665, 3rd Street Southwest, Perham, Otter Tail County, Minnesota, 56573, United States

    PERHAM, MN 565731108

    Phone: (218) 347-1200

    Fax: (218) 346-4043

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56573)

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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: 2264327766View full group profile
NameSpecialtyState
Emergency MedicineNY
Nurse PractitionerND
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Family PracticeMN
General SurgeryND
Family PracticeGA
Family PracticeMN
Family PracticeND
Family PracticeID

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHEN R HIETALA (MD)'s NPI?
Yes. STEPHEN R HIETALA (MD) is listed with NPI 1710905351 in the public NPI dataset.
Does the file indicate STEPHEN R HIETALA (MD) is practicing under active NPI?
Directory data currently reports STEPHEN R HIETALA (MD) as active.
What is STEPHEN R HIETALA (MD)'s specialty?
The listing groups STEPHEN R HIETALA (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STEPHEN R HIETALA (MD) list a practice location?
Patients near Perham, Minnesota may find STEPHEN R HIETALA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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