Active NPI
Elena Victoria Tellez, D.O.
- Internal Medicine Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS18764
- Practice address
- 2001 W 68TH St Ste 202
Hialeah, FL 33016-1801 - Phone
- (305) 364-2107
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | OS18764 | FL | Primary |
Addresses
Primary practice location
2001 W 68TH St Ste 202
Hialeah, FL 33016-1801
Mailing address
4960 SW 72ND Ave Ste 406
Miami, FL 33155-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 476-3911
Hospital & facility affiliations
- Westside Regional Medical Center
- University Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHA Associates LLC | Current | Accepting new patients |
Locations
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Miami, FL
- NPI 1265073159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
-
- General Acute Care Hospital
- Tamarac, FL
- NPI 1144274770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1619532124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 406",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 68TH ST STE 202",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161801",
"telephone_number": "305-364-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "ELENA",
"middle_name": "VICTORIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS18764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.