WAEL TELLO, MD, PA
NPI 1902927676
Clinic/Center - Medical Specialty in Lubbock, TX

Active since April 02, 2007
4407 6TH ST, LUBBOCK, TX 79416(806) 771-5864(806) 771-9009 Get Directions Write a Review

NPPES record last updated: December 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2020, Mar 18, 2019 (2 updates tracked since 2019).

About Wael Tello, Md, Pa NPPES

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

WAEL TELLO, MD, PA (NPI 1902927676) is a healthcare organization registered as a medical specialty in Lubbock, Texas and active in the NPI registry since April 2007. The organization lists Wael Tello, M.d., as its authorized official.

NPPES Registry Identity

NPI1902927676
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWAEL TELLO, MD, PA
Location Address4407 6TH STLubbock, TX 79416-4733
Mailing Address4407 6th StLubbock, TX 79416-4733 · (806) 771-5864 · Fax (806) 771-9009
Fax(806) 771-9009
Organization SubpartNo
Authorized OfficialWael TelloM.d. · (806) 771-5864
Enumeration DateApril 2, 2007
Last NPPES UpdateDecember 26, 20202 updates tracked since enumeration
NPPES CertifiedDecember 26, 2020
✔ NPI 1902927676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · K2603
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4407 6TH ST, Lubbock, TX 79416

Other Identifiers 1

Medicaid171258001TX

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wael Tello, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040806000673Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wael Tello, MD, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pulmonary Disease
NPI 1336138577
4407 6TH ST
Lubbock, TX 79416
(806) 771-5864
✔ PECOS✔ Accepts MedicareSame address

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

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 Wael Tello, MD, PA's NPI number?

The NPI number for Wael Tello, MD, PA is 1902927676. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Wael Tello, MD, PA located?

Wael Tello, MD, PA is located at 4407 6th St, Lubbock, TX 79416. The listed phone number is (806) 771-5864.

What is Wael Tello, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Wael Tello, MD, PA enrolled in Medicare?

Yes. Wael Tello, MD, PA is registered in the Medicare PECOS enrollment system.

When is Wael Tello, MD, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wael Tello, MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Wael Tello, MD, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wael Tello, MD, PA was last updated on December 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.