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TEDDY ABEBE TEDDY MD
NPI 1720832561
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 17, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Teddy Abebe Teddy Md NPPES

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

TEDDY ABEBE TEDDY MD (NPI 1720832561) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720832561
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTEDDY ABEBE TEDDYCredential: MD
Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5147 · Fax (313) 966-7305
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1720832561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teddy Abebe Teddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AVNEET KAUR M S ARORA MD, MPH
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
ABDUL RASHEED BAHAR MD
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. PRANIT SUNKARA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (462) 731-3745
SHAHEENA RAHEEM
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. MARIAM EL-MAGBRI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
NOORULANN SHERWANI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
VARUN NANDAMUDI DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
AHMAD KOFAHI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627

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 Teddy Teddy's NPI number?

The NPI number for Teddy Teddy is 1720832561. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Teddy Teddy located?

Teddy Teddy practices at 4201 Saint Antoine St Ste 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Teddy Teddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Teddy Teddy enrolled in Medicare?

Yes. Teddy Teddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teddy Teddy was last updated on April 17, 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.