Organization Active NPI

Tela Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Northbrook, IL
National Provider Identifier
1235569021
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TELA MEDICAL LLC
Practice address
3701 Commercial Ave
Suite 17
Northbrook, IL 60062-1800
Phone
(847) 964-9684
Fax
(847) 964-9685
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Melnick
Title
President
Phone
(847) 964-9684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3701 Commercial Ave
Suite 17
Northbrook, IL 60062-1800

Mailing address

3701 Commercial Ave
Suite 17
Northbrook, IL 60062-1800
Phone (847) 964-9684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170612001760 IL DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7113295304 Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

3701 Commercial Ave
Ste 17
Northbrook, IL 60062
Phone (847) 400-0078

3168 Doolittle Dr
Northbrook, IL 60062
Phone (847) 964-9684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1235569021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 COMMERCIAL AVE",
            "address_2": "SUITE 17",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621800",
            "telephone_number": "847-964-9684",
            "fax_number": "847-964-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 COMMERCIAL AVE",
            "address_2": "SUITE 17",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621800",
            "telephone_number": "847-964-9684",
            "fax_number": "847-964-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MELNICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-964-9684"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.