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DR. WELLINGTON SHELTON TICHENOR M.D.
NPI 1508871450
Allergy & Immunology - Allergy in New York, NY

Active since July 29, 2006Opted out of Medicare · through Oct 17, 2027
642 PARK AVE, NEW YORK, NY 10021(212) 517-6611(212) 517-2132 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wellington Shelton Tichenor M.d. NPPES

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

DR. WELLINGTON SHELTON TICHENOR M.D. (NPI 1508871450) is an individual allergy provider in New York, New York, licensed in New York (127559) and active in the NPI registry since July 2006. He has opted out of Medicare through October 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508871450
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. WELLINGTON SHELTON TICHENORCredential: M.D.
Location Address642 PARK AVENew York, NY 10021-6105
Mailing Address642 Park AveNew York, NY 10021-6105 · (212) 517-6611 · Fax (212) 517-2132
Phone(212) 517-6611
Fax(212) 517-2132
Sole ProprietorYes
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508871450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in NY · 127559
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
642 PARK AVE, New York, NY 10021
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Other Identifiers 1

Medicare UPINB00097NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wellington Shelton Tichenor M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 17, 2019 through October 17, 2027.

Opt-Out Effective DateOctober 17, 2019
Opt-Out In Effect ThroughOctober 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Wellington Tichenor's NPI number?

The NPI number for Wellington Tichenor is 1508871450. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Wellington Tichenor located?

Wellington Tichenor practices at 642 Park Ave, New York, NY 10021. The listed phone number is (212) 517-6611.

What is Wellington Tichenor's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Wellington Tichenor enrolled in Medicare?

No. Wellington Tichenor has opted out of Medicare through October 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wellington Tichenor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.