Jacquelin B Telesford, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01063057A Issued in IN

Practice address

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Phone

(812) 353-9515

Fax

(812) 353-9275

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline Barker Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtelesford@direct.iuhealth.org

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.

• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  NPD
• Indiana University Health Southern Indiana Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IN
  • NPI 1063179844
  NPD
• Indiana University Health Southern Indiana Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1013953983

  Emergency Medicine

  NPD
• Sound Physicians Emergency Medicine of Michigan, PLLC

  • Emergency Medicine Physician
  • Adrian, MI
  • NPI 1568913473
  NPD
• Connorsville Emergency Group PC

  • Emergency Medicine Physician
  • Connersville, IN
  • NPI 1225394919
  NPD (past)
• Deaconess Memorial Medical Center Inc

  • Pain Medicine Physician
  • Jasper, IN
  • NPI 1457164543
  NPD (past)
• Indiana University Health Paoli Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Paoli, IN
  • NPI 1457519324
  NPD (past)
• Calhoun County Emergency Physicians PC

  • Emergency Medicine Physician
  • Battle Creek, MI
  • NPI 1952585465
  NPD (past)
• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  NPD (past)
• Michigan Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Dowagiac, MI
  • NPI 1588603484
  NPD (past)
• Shorepointe Emergency Care Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Grosse Pointe Farms, MI
  • NPI 1043296296
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1508891193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E DISCOVERY PKWY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089059",
            "telephone_number": "812-353-9515",
            "fax_number": "812-353-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W High St",
            "address_purpose": "LOCATION",
            "city": "Dowagiac",
            "state": "MI",
            "postal_code": "490471943",
            "country_code": "US",
            "telephone_number": "269-783-3082",
            "fax_number": "269-783-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELESFORD",
        "first_name": "JACQUELIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301041333",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01063057A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtelesford@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Rachele Taylor, NP-C
• Ryan Taylor
• Hanna Teague
• Kathilyn N Teague, OTRL, CHT
• Rory Teel
• Sherley Margaret Tenefrancia, PT
• Sylvia M Ter Meer, RBT
• Teresa R Foster Counseling and Coaching LLC
• Terre Haute Home Health Care Products Inc
• Holly Lyne Terrell

• Emergency Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.