JOHN RAHUL TEDROW MD
NPI 1174723407
Internal Medicine - Pulmonary Disease in Brighton, MA

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
77 WARREN ST, 2ND FLOOR, BRIGHTON, MA 02135(617) 789-2545(617) 789-2893 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 28, 2025, May 10, 2017 (2 updates tracked since 2017).

About John Rahul Tedrow Md NPPES

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

JOHN RAHUL TEDROW MD (NPI 1174723407) is an individual pulmonary disease provider in Brighton, Massachusetts, licensed in Massachusetts (269302) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Muncie.

NPPES Registry Identity

NPI1174723407
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOHN RAHUL TEDROWCredential: MD
Location Address77 WARREN ST, 2ND FLOORBrighton, MA 02135-3601
Mailing Address77 Warren St Fl 4Brighton, MA 02135-3601 · (617) 789-2545 · Fax (617) 789-2893
Fax(617) 789-2893
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 24, 2007
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
NPI 1174723407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 269302
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01098257A (IN)
77 WARREN ST, Brighton, MA 02135

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 289-5409

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

John Rahul Tedrow Md 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 ID143490383
PECOS Enrollment IDI20220916001537, I20251209002494
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$3.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers45 claims45 services$65.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.28 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers18 claims18 services$23.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Counselor (Addiction (Substance Use Disorder))
77 WARREN ST
BRIGHTON, MA 02135
Specialist
77 WARREN ST
BRIGHTON, MA 02135
Social Worker (Clinical)
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135

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 John Tedrow's NPI number?

The NPI number for John Tedrow is 1174723407. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is John Tedrow located?

John Tedrow practices at 77 Warren St 2nd Floor, Brighton, MA 02135. The listed phone number is (617) 789-2545.

What is John Tedrow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Tedrow enrolled in Medicare?

Yes. John Tedrow 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 John Tedrow affiliated with any hospitals?

According to CMS data, John Tedrow is affiliated with Indiana University Health Ball Memorial Hospital and Norman Regional.

When was this NPI record last updated?

The NPPES record for John Tedrow was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.