ELLEN TEDALDI MD
NPI 1508854548
Internal Medicine in Philadelphia, PA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
3322 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1800(215) 707-3644 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2018, Mar 30, 2016 (2 updates tracked since 2016).

About Ellen Tedaldi Md NPPES

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

ELLEN TEDALDI MD (NPI 1508854548) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD036754E) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1980).

NPPES Registry Identity

NPI1508854548
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELLEN TEDALDICredential: MD
Location Address3322 N BROAD STPhiladelphia, PA 19140-5185
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-1800 · Fax (215) 707-3644
Fax(215) 707-3644
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateOctober 13, 2005
Last NPPES UpdateMarch 29, 20182 updates tracked since enumeration
NPI 1508854548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD036754E
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.

3322 N BROAD ST, Philadelphia, PA 19140

Other Identifiers 1

Medicaid0010606490001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen Tedaldi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971536954
PECOS Enrollment IDI20050912000773
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier18 claims2,604 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier18 claims18 services$21.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3322 N BROAD ST, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE
PHILADELPHIA, PA 19140
Family Medicine
3322 N BROAD ST, 2ND FL CANCER CENTER
PHILADELPHIA, PA 19140
Pediatrics
3322 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3322 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3322 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3322 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3322 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3322 N BROAD ST
PHILADELPHIA, PA 19140

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 Ellen Tedaldi's NPI number?

The NPI number for Ellen Tedaldi is 1508854548. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Ellen Tedaldi located?

Ellen Tedaldi practices at 3322 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1800.

What is Ellen Tedaldi's specialty?

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

Is Ellen Tedaldi enrolled in Medicare?

Yes. Ellen Tedaldi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ellen Tedaldi affiliated with any hospitals?

According to CMS data, Ellen Tedaldi is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Tedaldi was last updated on March 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.