DR. TESSIE WAZEERAH OCTOBER M.D.
NPI 1346329794
Pediatrics - Pediatric Critical Care Medicine in Washington, DC

Active since November 06, 2006PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000(202) 476-5724 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tessie Wazeerah October M.d. NPPES

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

DR. TESSIE WAZEERAH OCTOBER M.D. (NPI 1346329794) is an individual pediatric critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD33885) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346329794
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. TESSIE WAZEERAH OCTOBERCredential: M.D.
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address111 Michigan Ave NwWashington, DC 20010-2916 · (202) 476-5000 · Fax (202) 476-5724
Fax(202) 476-5724
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateNovember 9, 2015
NPI 1346329794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in DC · MD33885
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License MD33885 (DC)
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tessie Wazeerah October 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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Tessie October's NPI number?

The NPI number for Tessie October is 1346329794. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Tessie October located?

Tessie October practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Tessie October's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Tessie October enrolled in Medicare?

Yes. Tessie October is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tessie October was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.