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KELLY E. TJELMELAND M. D.
NPI 1710071832
Plastic Surgery in Austin, TX

Active since October 03, 2006CLIA 45D1095267 · Waiver
4220 BULL CREEK RD, AUSTIN, TX 78731(512) 617-7500 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly E. Tjelmeland M. D. NPPES

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

KELLY E. TJELMELAND M. D. (NPI 1710071832) is a healthcare organization registered as a plastic surgery in Austin, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Kelly E Tjelmeland, Owner, as its authorized official.

NPPES Registry Identity

NPI1710071832
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTJELMELAND PLASTIC SURGERY, P. A.
Location Address4220 BULL CREEK RDAustin, TX 78731-6026
Mailing Address4220 Bull Creek RdAustin, TX 78731-6026
Phone(512) 617-7500
Organization SubpartNo
Authorized OfficialKelly E TjelmelandOwner · (512) 617-7500
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1710071832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in TX · J7860
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4220 BULL CREEK RD, Austin, TX 78731
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Other Names 1

Doing Business AsKelly E. Tjelmeland M. D.

Other Identifiers 3

Other8AQ830TX · Bcbs Individual Number
Medicaid169603101TX
Medicare PIN00765UTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1095267

Tjelmeland Plastic Surgery PA · Austin, TX
Active · expires Feb 4, 2027
CLIA Number45D1095267
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorKelly E. Tjelmeland
Laboratory Phone(512) 617-7500
Laboratory LocationTjelmeland Plastic Surgery PA4220 Bull Creek Road, Austin, TX 78731
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY EUGENE TJELMELAND M D
Plastic Surgery
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
E RICHARD PARKER M. D.
Plastic Surgery
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
SKS PLASTIC SURGERY PA
Plastic Surgery (Surgery of the Hand)
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
MISS CYNTHIA ELIZABETH VILLACIS PA-C
Physician Assistant
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
E RICHARD PARKER M D P A
Plastic Surgery
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
HEATHER MARIE SMITH P.A. C
Physician Assistant
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500
MERIDIAN SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4220 BULL CREEK RD
AUSTIN, TX 78731
Travis County (512) 617-7500

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 Tjelmeland Plastic Surgery, P. A.'s NPI number?

The NPI number for Tjelmeland Plastic Surgery, P. A. is 1710071832. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Kelly E. Tjelmeland M. D..

Where is Tjelmeland Plastic Surgery, P. A. located?

Tjelmeland Plastic Surgery, P. A. is located at 4220 Bull Creek Rd, Austin, TX 78731. The listed phone number is (512) 617-7500.

What is Tjelmeland Plastic Surgery, P. A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Tjelmeland Plastic Surgery, P. A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1095267) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tjelmeland Plastic Surgery, P. A. was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.