EDUARDO TELLEZ GARCIA MD - NPI 1023804648 - Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Eduardo Tellez Garcia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARDO TELLEZ GARCIA MD (NPI 1023804648) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023804648

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEDUARDO TELLEZ GARCIACredential: MD

Location Address1120 WEST MICHIGAN STREET, GATCH HALL 630Indianapolis, IN 46202

Mailing Address1120 West Michigan Street, Gatch Hall 630Indianapolis, IN 46202 · (317) 278-2594

Phone(317) 278-2594

Sole ProprietorNo

Enumeration DateApril 18, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1023804648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 WEST MICHIGAN STREET, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eduardo Tellez Garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATANIE JOLENE ANILOVICH MD