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ABESELOM TEDLA GUTTA MD
NPI 1508652645
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Active since April 16, 2025PECOS Enrolled
1400 S COULTER ST STE 2700, AMARILLO, TX 79106(806) 414-9100(806) 354-5717 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abeselom Tedla Gutta Md NPPES

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

ABESELOM TEDLA GUTTA MD (NPI 1508652645) is an individual student in an organized health care education/training program in Amarillo, Texas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508652645
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameABESELOM TEDLA GUTTACredential: MD
Location Address1400 S COULTER ST STE 2700Amarillo, TX 79106-1786
Mailing Address1400 S. Coulter Street Suite 2500Amarillo, TX 79106-1786 · (806) 414-9100 · Fax (806) 354-5717
Phone(806) 414-9100
Fax(806) 354-5717
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1508652645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1400 S COULTER ST STE 2700, Amarillo, TX 79106
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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)

Abeselom Tedla Gutta 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.

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 Abeselom Gutta's NPI number?

The NPI number for Abeselom Gutta is 1508652645. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Abeselom Gutta located?

Abeselom Gutta practices at 1400 S Coulter St Ste 2700, Amarillo, TX 79106. The listed phone number is (806) 414-9100.

What is Abeselom Gutta's specialty?

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

Is Abeselom Gutta enrolled in Medicare?

Yes. Abeselom Gutta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abeselom Gutta was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.