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

Dr. Douglas N Tietjen, MD

Individual provider Urology Physician · NPI 1679522700

Dr. Douglas N Tietjen, MD is an Urology in Lees Summit, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1993, 33 years ago. Practices with Kansas City Urology Care PA, a 71-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
33
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO
In the registry since
2006
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

451 NW Murray Rd
Lees Summit, MO 64081-1425
Phone: (816) 524-1007
Fax: (816) 524-1988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 118291 (MO)
Urology Physician Taxonomy 208800000X · Licence 0428228 (KS)

Record details

NPI number1679522700
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Kansas City Urology Care Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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