Konstantin Tetelman, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP023490 Issued in PA

Practice address

7170 Lafayette Ave
Fort Washington, PA 19034-2301

Phone

(215) 641-5300

NPI assigned

Mar 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment Care Compare group NPD
• Guide to Wellness Therapy PC

  dba Guide to Wellness

  • Mental Health Counselor
  • Morrisville, PA
  • NPI 1699351098
  Medicare reassignment
• BHC Northwest Psychiatric Hospital LLC

  dba Brooke Glen Behavioral Hospital

  • Psychiatric Hospital
  • Fort Washington, PA
  • NPI 1588603872
  NPD (past)

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1447836457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 HERITAGE DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291629",
            "telephone_number": "267-902-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 LAFAYETTE AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342301",
            "telephone_number": "215-641-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETELMAN",
        "first_name": "KONSTANTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple University of the Commonwealth System of Higher Education (Temple Radiology Associates FW)
• Temple University of the Commonwealth System of Higher Education (Temple Orthopedics & Sports Medicine)
• Tendedr Loving Care Health Care Services of PA, LLC (Staff Builders Home Health Care)
• Tender Mercy Care LLC
• Lynda D Terry, PTA
• The Ellison Nursing Group
• The Ellison Nursing Group
• The Ellison Nursing Group, LLC
• The Ellison Nursing Group, LLC
• The Ellison Nursing Group, LLC.

• Psychiatric/Mental Health Nurse Practitioner in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.

Verify at the official NPI Registry.