Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Edward Tiesma, MD

Individual provider Pediatrics Physician · NPI 1922412600

David Edward Tiesma, MD is an Internal Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with Spectrum Health Hospitals, a 165-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 Michigan St NE Ste 8100
Grand Rapids, MI 49503-2531
Phone: (616) 267-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301106108 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301106108 (MI)

Record details

NPI number1922412600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Spectrum Health Hospitals — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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