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TIMOTHY A KRISTEDJA MD
NPI 1770285579
Student in an Organized Health Care Education/Training Program in Salem, VA

Active since March 17, 2023PECOS Enrolled
1900 ELECTRIC RD, SALEM, VA 24153(540) 336-8524 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy A Kristedja Md NPPES

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

TIMOTHY A KRISTEDJA MD (NPI 1770285579) is an individual student in an organized health care education/training program in Salem, Virginia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770285579
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY A KRISTEDJACredential: MD
Location Address1900 ELECTRIC RDSalem, VA 24153-7474
Mailing Address1900 Electric RdSalem, VA 24153-7474 · (540) 336-8524
Phone(540) 336-8524
Sole ProprietorYes
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1770285579 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.

1900 ELECTRIC RD, Salem, VA 24153
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Other Names 1

Other Name (5)Tim Kristedja

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy A Kristedja 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.

VISTA RADIOLOGY CONSULTANTS
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (813) 210-3319
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

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 Timothy Kristedja's NPI number?

The NPI number for Timothy Kristedja is 1770285579. It was assigned to this individual provider in the NPPES registry on March 17, 2023. The provider is also known as Tim Kristedja.

Where is Timothy Kristedja located?

Timothy Kristedja practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 336-8524.

What is Timothy Kristedja's specialty?

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

Is Timothy Kristedja enrolled in Medicare?

Yes. Timothy Kristedja is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Kristedja was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.