NPIMap

Individual provider Active NPI

Karen Daniella Tellez-Jacques, D.O.

  • Hospitalist Physician
  • Charlotte, NC
National Provider Identifier
1659708089
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2018-01140 Issued in NC
Practice address
8800 N Tryon St
Charlotte, NC 28262-3300
Phone
(704) 863-6241
NPI assigned
Sep 30, 2013
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018-01140 NC
Internal Medicine Physician 207R00000X 25MB10111900 NJ
Hospitalist Physician 208M00000X 2018-01140 NC Primary

Addresses

Primary practice location

8800 N Tryon St
Charlotte, NC 28262-3300

Mailing address

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827002145 NC Practitioner - HospitalistPractitioner - Internal Medicine 1052683844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

920 Church St N
Suite 255B
Concord, NC 28025-2927
Phone (704) 403-1331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10111900NJMDInternal Medicine Physician
2018-01140NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center, LLC CurrentSince Apr 28, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 27, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Novant Health Rowan Medical Center LLC CurrentSince Apr 28, 2020 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince May 27, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince May 27, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 27, 2025 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

920 Church St N
Ste 255B
Concord, NC 28025
Phone (704) 403-1331

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

Interoperability endpoints

  • Direct secure messaging: ktellezjacques2978229@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ktellezjacques664491@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1659708089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623300",
            "telephone_number": "704-863-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623300",
            "telephone_number": "704-863-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ-JACQUES",
        "first_name": "KAREN",
        "middle_name": "DANIELLA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-01140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10111900",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2018-01140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.