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KEDIST TEDLA
NPI 1063451078
Internal Medicine in Charlotte, NC

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
10628 PARK RD, CHARLOTTE, NC 28210(704) 667-7070 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2020, Apr 8, 2019, Feb 12, 2019 and 8 more (11 updates tracked since 2018).

About Kedist Tedla NPPES

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

KEDIST TEDLA (NPI 1063451078) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (200401137) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1063451078
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKEDIST TEDLA
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing Address10628 Park RdCharlotte, NC 28210-8407
Phone(704) 667-7070
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 25, 202011 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1063451078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 200401137
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35314 (SC), 200401137 (NC)
10628 PARK RD, Charlotte, NC 28210
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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 and accepts Medicare assignment

Kedist Tedla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577530435
PECOS Enrollment IDI20040911000096
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
170 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
85 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. RICHARD RALPH PAGANO MD
Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
BENJAMIN JOEL ROBERTS CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
MR. GREGORY A DUGGAN CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
NGOC BAO NGUYEN PA
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-7070
CHERYL SPEIGHT MASTROIANNI CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
REAGAN FRANCES NORVELL
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 446-6810
DR. LINDA J. MATTHEWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 973-5500
KAY HUFFSTETLER BARBERA CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedist Tedla's NPI number?

The NPI number for Kedist Tedla is 1063451078. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kedist Tedla located?

Kedist Tedla practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-7070.

What is Kedist Tedla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kedist Tedla enrolled in Medicare?

Yes. Kedist Tedla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kedist Tedla affiliated with any hospitals?

According to CMS data, Kedist Tedla is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kedist Tedla was last updated on October 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.