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DOMINICK TEDESCHI DO
NPI 1720778558
Family Medicine in Jasper, IN

Active since May 15, 2023PECOS Enrolled
966 BARTLEY ST, JASPER, IN 47546(812) 996-7810 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, May 15, 2023 (2 updates tracked since 2023).

About Dominick Tedeschi Do NPPES

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

DOMINICK TEDESCHI DO (NPI 1720778558) is an individual family medicine provider in Jasper, Indiana, licensed in Indiana (02009224A) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720778558
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINICK TEDESCHICredential: DO
Location Address966 BARTLEY STJasper, IN 47546-2641
Mailing Address966 Bartley StJasper, IN 47546-2641 · (812) 996-7810
Phone(812) 996-7810
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1720778558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02009224A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
966 BARTLEY ST, Jasper, IN 47546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick Tedeschi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022475730
PECOS Enrollment IDI20260817001574
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.

Medicare Billing Reassignment

Medicare enrollment records show Dominick Tedeschi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Clinic Inc
Same address
Family Medicine
966 BARTLEY ST
Jasper, IN 47546
  • Reassigned Medicare billing, Indiana enrollment
  • 444 clinicians in this Medicare group
NPI 1922899988 (812) 996-7810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47546 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

DR. NIKOLA CENGELOVA CONRAD M.D.
Family Medicine
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
DR. OLUCHUKWU NWACHUKWU
Family Medicine
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
RACHEL NETTLETON MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
MARINA SIDRA GERGES
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-5425
ADAEZE EZEAKA MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
CHAYLA NICOLE HOPE MENDEL DO
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
MARY PETER MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
KELCI WAYNE MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810

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 Dominick Tedeschi's NPI number?

The NPI number for Dominick Tedeschi is 1720778558. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Dominick Tedeschi located?

Dominick Tedeschi practices at 966 Bartley St, Jasper, IN 47546. The listed phone number is (812) 996-7810.

What is Dominick Tedeschi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dominick Tedeschi enrolled in Medicare?

Yes. Dominick Tedeschi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominick Tedeschi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominick Tedeschi reassigns Medicare benefits to Deaconess Clinic Inc (Jasper, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominick Tedeschi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dominick Tedeschi affiliated with any hospitals?

According to CMS data, Dominick Tedeschi is affiliated with Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Dominick Tedeschi was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.