DR. MICHELLE DENISE TEDJA M.D.
NPI 1043566557
Pediatrics in Houston, TX

Q: What is Michelle Tedja's NPI number?

The NPI number for Michelle Tedja is 1043566557. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Q: What is Michelle Tedja's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Tedja was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2012

8901 BOONE RD, HOUSTON, TX 77099(281) 454-0500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 21, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Michelle Denise Tedja M.d. NPPES

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

DR. MICHELLE DENISE TEDJA M.D. (NPI 1043566557) is an individual pediatrics provider in Houston, Texas, licensed in Texas (Q2213) and active in the NPI registry since August 2012. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1043566557

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MICHELLE DENISE TEDJACredential: M.D.

Location Address8901 BOONE RDHouston, TX 77099-1659

Mailing Address6431 Fannin St Ste Jjl 495Houston, TX 77030-1501 · (713) 500-6645 · Fax (713) 500-0527

Phone(281) 454-0500

Sole ProprietorNo

Enumeration DateAugust 2, 2012

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1043566557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · Q2213

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8901 BOONE RD, Houston, TX 77099

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Secondary Practice Location 1

Location 16410 Fannin St Ste 500Houston, TX 77030-3005 · Phone (832) 325-7111

Other Identifiers 1

Medicaid347829901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

SICILY V GARNER

Counselor