BRUKE TEDLA
NPI 1982102539
Internal Medicine - Adult Congenital Heart Disease in Loma Linda, CA
NPI Status: Active since January 29, 2018
Contact Information
11324 ANDERSON ST
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-8590
- Individual
- Male
- Years of Experience 9
- Internal Medicine
- Adult Congenital Heart Disease
- May Accept Medicare Approved Payment
- PECOS Enrolled
About BRUKE TEDLA
This page provides the complete NPI Profile along with additional information for Bruke Tedla, an internist established in Loma Linda, California with a medical specialization in Internal Medicine, focusing in adult congenital heart disease and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1982102539 assigned on January 2018. The practitioner's primary taxonomy code is 207RA0002X with license number A160609 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1982102539
- Provider Name
- BRUKE TEDLA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11324 ANDERSON ST LOMA LINDA, CA 92350
- Location Phone
- (909) 558-8590
- Mailing Address
- 2068 ORANGE TREE LN STE 215 REDLANDS, CA 92374
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-29-2018
- Last Update Date
- 11-11-2025
- Code Navigator
An internist like Bruke Tedla is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Adult Congenital Heart Disease
- Taxonomy Code
- 207RA0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A160609
- License State
- CA
- Taxonomy Description
- A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Medicare Participation & PECOS Enrollment Status
Bruke Tedla is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Bruke Tedla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8426545336
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251014003770
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982102539, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982102539, enumerated as an "individual" on January 29, 2018.
The provider is located at 11324 ANDERSON ST LOMA LINDA, CA 92350 and the phone number is (909) 558-8590.
Internal Medicine with taxonomy code 207RA0002X and a focus in Adult Congenital Heart Disease.
