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YESSENIA LEONOR CABALLERO-TILLERIA PAC
NPI 1265974448
Physician Assistant - Surgical in Philadelphia, PA

Active since November 05, 2016PECOS Enrolled
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-4000 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2019, Nov 5, 2016 (2 updates tracked since 2016).

About Yessenia Leonor Caballero-tilleria Pac NPPES

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

YESSENIA LEONOR CABALLERO-TILLERIA PAC (NPI 1265974448) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA058602) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265974448
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameYESSENIA LEONOR CABALLERO-TILLERIACredential: PAC
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address2213 Amber StPhiladelphia, PA 19125-2017 · (410) 303-9665
Phone(215) 612-4000
Sole ProprietorNo
Enumeration DateNovember 5, 2016
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
✔ NPI 1265974448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in PA · MA058602✔ Licensed in PA · OA003987
10800 KNIGHTS RD, Philadelphia, PA 19114
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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 (PECOS)

Yessenia Leonor Caballero-tilleria Pac 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.

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.

MANSI SHETH DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
CHERYL LYNNE GEE-MAURER CRNP
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
HEATHER MOORE RN
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
IAN LUMSDEN PA-C
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4064
PETER J GRELLA
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
DR. KRISHNA KOTHAMASU DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
GRETCHEN DAWN OVERTON DPM
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
MS. BONNIE VITTI-HUOT PA-C
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Yessenia Caballero-tilleria's NPI number?

The NPI number for Yessenia Caballero-tilleria is 1265974448. It was assigned to this individual provider in the NPPES registry on November 5, 2016.

Where is Yessenia Caballero-tilleria located?

Yessenia Caballero-tilleria practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is Yessenia Caballero-tilleria's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Yessenia Caballero-tilleria enrolled in Medicare?

Yes. Yessenia Caballero-tilleria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yessenia Caballero-tilleria was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.