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TELOS HEALTH SYSTEMS PA PLLC
NPI 1205798956
Internal Medicine in Erie, PA

Active since December 02, 2025

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Telos Health Systems Pa Pllc NPPES

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

TELOS HEALTH SYSTEMS PA PLLC (NPI 1205798956) is a healthcare organization registered as an internal medicine in Erie, Pennsylvania and active in the NPI registry since December 2025. The organization lists Michael Albert Renzi, Member, as its authorized official.

NPPES Registry Identity

NPI1205798956
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTELOS HEALTH SYSTEMS PA PLLC
Location Address4850 ZUCK RDErie, PA 16506-4936
Mailing Address980 Sylvan AveEnglewood, NJ 07632-3315 · (201) 217-6777
Phone(201) 217-6777
Organization SubpartNo
Authorized OfficialMichael Albert RenziMember · (201) 217-6777
Enumeration DateDecember 2, 2025
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1205798956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4850 ZUCK RD, Erie, PA 16506
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Telos Health Systems Pa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Telos Health Systems PA PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Cheryl Lindsey, CRNP
Nurse Practitioner
NPI 1871689489
320 E NORTH AVE
Pittsburgh, PA 15212
(412) 359-6147
✔ PECOS110 mi
Julie Hillyer, CRNP
Nurse Practitioner
NPI 1730158031
502 PARK AVE
Clearfield, PA 16830
(814) 765-1521
✔ PECOS✔ Accepts Medicare114 mi
Leslie Richards, CRNP
Nurse Practitioner
NPI 1295286524
3824 NORTHERN PIKE STE 820
Monroeville, PA 15146
(412) 457-0424
✔ PECOS✔ Accepts Medicare114 mi
Kangsun Jin, CRNP
Nurse Practitioner
NPI 1023809167
134 BRADDOCK DR
Latrobe, PA 15650
(929) 395-6116
✔ PECOS✔ Accepts Medicare127 mi
Jacqueline Huber, M.ED, LBS BH 001824
Mental Health Counselor
NPI 1922664911
1400 FOX HILL RD STE 100
State College, PA 16803
(814) 238-4851
✔ PECOS✔ Accepts Medicare144 mi
Olatokunbo Adeniyi, M.D.
Internal Medicine
NPI 1174621809
5125 JONESTOWN RD STE 105
Harrisburg, PA 17112
(717) 943-1566
✔ PECOS✔ Accepts Medicare212 mi
Michael Renzi, D.O.
Internal Medicine
NPI 1962491241
318 WHITE HORSE PIKE
Haddon Heights, NJ 08035
(856) 547-6000
✔ PECOS✔ Accepts Medicare305 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Telos Health Systems PA PLLC's NPI number?

The NPI number for Telos Health Systems PA PLLC is 1205798956. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Telos Health Systems PA PLLC located?

Telos Health Systems PA PLLC is located at 4850 Zuck Rd, Erie, PA 16506. The listed phone number is (201) 217-6777.

What is Telos Health Systems PA PLLC's specialty?

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

Is Telos Health Systems PA PLLC enrolled in Medicare?

Yes. Telos Health Systems PA PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Telos Health Systems PA PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Telos Health Systems PA PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Internal Medicine (2) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Telos Health Systems PA PLLC was last updated on February 9, 2026. 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.