DR. TARRYN TERTULIEN MD
NPI 1477176691
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 21, 2020PECOS Enrolled
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2023, May 21, 2020 (2 updates tracked since 2020).

About Dr. Tarryn Tertulien Md NPPES

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

DR. TARRYN TERTULIEN MD (NPI 1477176691) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477176691
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TARRYN TERTULIENCredential: MD
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Sole ProprietorNo
Enumeration DateMay 21, 2020
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1477176691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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. Tarryn Tertulien Md 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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Tarryn Tertulien's NPI number?

The NPI number for Tarryn Tertulien is 1477176691. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Tarryn Tertulien located?

Tarryn Tertulien practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Tarryn Tertulien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tarryn Tertulien enrolled in Medicare?

Yes. Tarryn Tertulien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tarryn Tertulien was last updated on June 15, 2023. 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.