NICHOLAS ALEXANDER TELISCHAK M.D.
NPI 1629244850
Radiology - Neuroradiology in Stanford, CA

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Aug 30, 2016 (2 updates tracked since 2016).

About Nicholas Alexander Telischak M.d. NPPES

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

NICHOLAS ALEXANDER TELISCHAK M.D. (NPI 1629244850) is an individual neuroradiology provider in Stanford, California, licensed in California (A109575) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Novato, and is a graduate of Geisel School Of Medicine At Dartmouth (2008).

NPPES Registry Identity

NPI1629244850
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameNICHOLAS ALEXANDER TELISCHAKCredential: M.D.
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2008
Enumeration DateMay 7, 2008
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1629244850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in CA · A109575
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A109575 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 1504 REDWOOD BLVD, STE 300NOVATO, CA 94947-6925 · Phone (415) 884-3415 · Fax (415) 883-0877

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

Nicholas Alexander Telischak M.d. 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 ID2163718925
PECOS Enrollment IDI20160906000861
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 9

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
44 services43 patients
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.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
18 services16 patients
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.
18 services16 patients
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645
This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
16 services16 patients

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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 (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Nicholas Telischak's NPI number?

The NPI number for Nicholas Telischak is 1629244850. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Nicholas Telischak located?

Nicholas Telischak practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Nicholas Telischak's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Nicholas Telischak enrolled in Medicare?

Yes. Nicholas Telischak 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.

When was this NPI record last updated?

The NPPES record for Nicholas Telischak was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.