MICHELLE P TELLADO MD
NPI 1841635463
General Practice in Orlando, FL

Q: What is Michelle Tellado's NPI number?

The NPI number for Michelle Tellado is 1841635463. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Q: What is Michelle Tellado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Tellado was last updated on April 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2013PECOS Enrolled

1717 S ORANGE AVE, ORLANDO, FL 32806(321) 452-1061 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2019, Mar 17, 2018, Nov 2, 2017 and 1 more (4 updates tracked since 2017).

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About Michelle P Tellado Md NPPES

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

MICHELLE P TELLADO MD (NPI 1841635463) is an individual general practice provider in Orlando, Florida, licensed in Florida (ME127519) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Merritt Island, and is a graduate of George Washington University School Of Medicine (2013).

NPPES Registry Identity

NPI1841635463

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMICHELLE P TELLADOCredential: MD

Location Address1717 S ORANGE AVEOrlando, FL 32806-2944

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102

Phone(321) 452-1061

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2013

Enumeration DateMay 9, 2013

Last NPPES UpdateApril 26, 20194 updates tracked since enumeration

✔ NPI 1841635463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME127519

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedHospitalistTaxonomy 208M00000X · License ME127519 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1717 S ORANGE AVE, Orlando, FL 32806

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Secondary Practice Location 1

Location 1270 N Sykes Creek Pkwy Ste 108Merritt Island, FL 32953-3494 · Phone (321) 452-1061 · Fax (321) 453-0866

Other Identifiers 1

Medicaid018374500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle P Tellado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810257375

PECOS Enrollment IDI20251001000749

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.

YU MILES YU MD

Specialist