Individual provider Active NPI

Polina Teslyar, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1760617393
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
254402 Issued in MA
Practice address
701 W Pratt St
Psychiatry, 4TH Floor
Baltimore, MD 21201-1023
Phone
(410) 328-5076
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 254402 MA Primary

Addresses

Primary practice location

701 W Pratt St
Psychiatry, 4TH Floor
Baltimore, MD 21201-1023

Mailing address

701 W Pratt St
Psychiatry, 4TH Floor
Baltimore, MD 21201-1023
Phone (410) 328-5076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000284 MA Practitioner - Psychiatry 0941435549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254402MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Faulkner Hospital, Inc Current Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

Interoperability endpoints

  • Direct secure messaging: polina.teslyar.1@30093.direct.athenahealth.com
  • Direct secure messaging: teslyar.polina.fh@direct.partners.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1760617393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST",
            "address_2": "PSYCHIATRY, 4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST",
            "address_2": "PSYCHIATRY, 4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESLYAR",
        "first_name": "POLINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "254402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.