DR. DAVE TIEN (M.D.) – Nephrology Physician, NPI 1053319657

DR. DAVE TIEN (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 3788925-1205 (UT). The NPI Number for DR. DAVE TIEN (M.D.) is 1053319657

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVE TIEN (M.D.)
NPI
1053319657
Phone
(801) 288-2634
Address
650 E 4500 S
Enumeration Date
8 July 2005
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8012882634
Graduation Year
1996 (30 years ago)
PAC ID
7113066002
Group Practice PAC ID
2769468065
Professional Enrollment ID
I20100715000923
Address ID
UT841155096SX3702XSTXX401

Contacts

Secure Messaging
dave.tien.1@14360.direct.athenahealth.com
Secure Messaging
dtien31444@direct.acumenmd.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

90 NEPHROLOGY in UT

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Provider Addresses for DR. DAVE TIEN (M.D.)

  • 4500 South, Murray, Salt Lake County, Utah, 84107, United States

    SUITE 210

    SALT LAKE CITY, UT 841072900

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Mailing

  • 3702 S STATE ST STE 107

    SOUTH SALT LAKE, UT 841155096

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Mailing

  • 4101 W Pioneer Pkwy Ste 103

    West Valley, UT 841202050

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Location

  • 3823 W 9000 S

    West Jordan, UT 840885603

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $830.

Total Amount is formed as General ($830) + Research ($0) + Ownership ($0) = $830.

Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($163).

Total Amount

$830

General + Research + Ownership

Payments

41

Total payment records

General Amount

$830

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-15

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
I20100715000923INephrologyUTTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes198118$0
99214Established patient office or other outpatient visit, 30-39 minutes166131$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)14828$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6429$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5831$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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Provider's Procedures

DR. DAVE TIEN (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYUT90935Hemodialysis procedure with one physician evaluation3728
NEPHROLOGYUT90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older1715

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: 2769468065View full group profile
NameSpecialtyState
Nephrology, Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nephrology, Internal MedicineUT
Nephrology, Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT
Nephrology, Internal MedicineUT

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Frequently asked questions

What is the standard ID for DR. DAVE TIEN (M.D.) in the U.S.?
In the U.S., DR. DAVE TIEN (M.D.) is identified by NPI 1053319657.
Is DR. DAVE TIEN (M.D.)'s NPI status active today?
Active status means DR. DAVE TIEN (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. DAVE TIEN (M.D.) does?
Insurance directories may phrase it differently, but here DR. DAVE TIEN (M.D.) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DAVE TIEN (M.D.)?
DR. DAVE TIEN (M.D.) is associated with Salt Lake City, Utah in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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