Active NPI
Nicholas W Telew, M.D.
- Specialist
- Eugene, OR
National Provider Identifier
1144287723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD17401
- Practice address
- 3203 Willamette St
Eugene, OR 97405-3348 - Phone
- (541) 726-9912
- Fax
- (541) 744-4443
- NPI assigned
- Apr 27, 2006
- Last updated
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD17401 | OR | Primary |
Addresses
Primary practice location
3203 Willamette St
Eugene, OR 97405-3348
Mailing address
3203 Willamette St
Eugene, OR 97405-3348
Phone (541) 726-9912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031091 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3203 Willamette St
Eugene, OR 97405-3348
Phone (541) 726-9912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17401 | OR | MD | Specialist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Eugene, OR
- NPI 1710029889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1144287723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 WILLAMETTE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053348",
"telephone_number": "541-726-9912",
"fax_number": "541-744-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 WILLAMETTE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053348",
"telephone_number": "541-726-9912",
"fax_number": "541-744-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEW",
"first_name": "NICHOLAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD17401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031091",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.