ADDISALEM TEDLA M.D.
NPI 1134488570
Pediatrics in Falls Church, VA

Q: What is Addisalem Tedla's NPI number?

The NPI number for Addisalem Tedla is 1134488570. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Q: What is Addisalem Tedla'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 Addisalem Tedla was last updated on November 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 04, 2012PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-6558 Get Directions Write a Review

NPPES record last updated: November 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2022, Mar 25, 2021, Jul 23, 2018 (3 updates tracked since 2018).

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About Addisalem Tedla M.d. NPPES

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

ADDISALEM TEDLA M.D. (NPI 1134488570) is an individual pediatrics provider in Falls Church, Virginia, licensed in Virginia (0101258985) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1134488570

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameADDISALEM TEDLACredential: M.D.

Location Address3300 GALLOWS RDFalls Church, VA 22042

Mailing Address3300 Gallows RdFalls Church, VA 22042-3307 · (703) 776-6558

Phone(703) 776-6558

Sole ProprietorYes

Enumeration DateMay 4, 2012

Last NPPES UpdateNovember 19, 20223 updates tracked since enumeration

NPPES CertifiedNovember 19, 2022

✔ NPI 1134488570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101258985

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.

Also ListedHospitalistTaxonomy 208M00000X · License 0101258985 (VA)

3300 GALLOWS RD, Falls Church, VA 22042

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Secondary Practice Location 1

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 247-2940

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addisalem Tedla M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)