Manjula Tella, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

18925 Issued in NE

Practice address

2735 N Clarkson St
Fremont, NE 68025-7717

Phone

(402) 727-9992

Fax

(402) 727-7029

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811050644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257717",
            "telephone_number": "402-727-9992",
            "fax_number": "402-727-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257717",
            "telephone_number": "402-727-9992",
            "fax_number": "402-727-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLA",
        "first_name": "MANJULA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "18925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081644800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30003",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Svatora
• Andrea J Svoboda, MS RD LMNT
• Mary Svoboda, CRNA
• Dominic Tang
• Garrett Teel, DDS
• Ava M Ten Kley
• Breeona J Teneyck
• Patricia Ann Terp, M.D.
• Ross M Tessendorf, DPT
• Amanda L. Tessmer

• Specialist in Fremont, NE
• Providers in Fremont, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.