MOUAFFAA TELLO
NPI 1831622489
Hospitalist in St Louis Park, MN
About Mouaffaa Tello NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUAFFAA TELLO (NPI 1831622489) is an individual hospitalist provider in St Louis Park, Minnesota, licensed in Minnesota (69169) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mouaffaa Tello 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mouaffaa Tello reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Hutchinson, MN 55350
- Reassigned Medicare billing, Minnesota enrollment
- 253 clinicians in this Medicare group
Olivia, MN 56277
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1629091871 (Minnesota)
- 125 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNPark Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNHutchinson Health
Acute Care Hospitals · Hutchinson, MNOlivia Hospital & Clinic
Critical Access Hospitals · Olivia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST LOUIS PARK, MN 55426
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 Mouaffaa Tello's NPI number?
The NPI number for Mouaffaa Tello is 1831622489. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Mouaffaa Tello located?
Mouaffaa Tello practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.
What is Mouaffaa Tello's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mouaffaa Tello enrolled in Medicare?
Yes. Mouaffaa Tello 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.
Which organizations bill Medicare for Mouaffaa Tello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mouaffaa Tello reassigns Medicare benefits to 4 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN), Group Health, Inc. (St Louis Park, MN), Hutchinson Health (Hutchinson, MN) and Healthpartners Rc (Olivia, MN). Each 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 Mouaffaa Tello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mouaffaa Tello affiliated with any hospitals?
According to CMS data, Mouaffaa Tello is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital, Regions Hospital, Hutchinson Health and Olivia Hospital & Clinic.
When was this NPI record last updated?
The NPPES record for Mouaffaa Tello was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mouaffaa Tello · NPI 1831622489
Hospitalist physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1831622489 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 69169 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Group Health, Inc. (NPI 1053466128, St Louis Park, MN); Hutchinson Health (NPI 1053508820, Hutchinson, MN); Healthpartners Rc (NPI 1649470782, Olivia, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1831622489) · Data from the CMS NPPES public registry.