Mitchell Tiedke, PA
NPI 1033719745 · Surgical Physician Assistant · Englewood, CO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitchell Tiedke, PA is a Surgical Physician Assistant provider in Englewood, CO (NPI 1033719745).
Provider details
- NPI number
- 1033719745
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA.0006543 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 13123 E 16th AveAurora, CO 80045-7106Phone: (720) 777-1234
Registry dates
- Enumerated
- 2020-10-30
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Frequently asked questions
- What is Mitchell Tiedke's NPI number?
- Mitchell Tiedke's National Provider Identifier (NPI) is 1033719745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitchell Tiedke's specialty?
- Mitchell Tiedke is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mitchell Tiedke located?
- Mitchell Tiedke's practice location on file with NPPES is 3501 S Clarkson St, Englewood, CO 80113-3916.
- What is Mitchell Tiedke's phone number?
- The practice phone number listed in the NPPES registry for Mitchell Tiedke is (763) 381-7160.
- Does Mitchell Tiedke accept Medicare?
- Mitchell Tiedke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitchell Tiedke's NPI active?
- Yes — Mitchell Tiedke's NPI (1033719745) is active in the NPPES registry as of the last update on 2023-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.