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ESSAM Y. TELLAWI M.D. NPI 1093715690


NPI Information

NPI: 1093715690
Provider Name: ESSAM Y. TELLAWI, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-4800
Get Directions

Essam Y. Tellawi, M.D. is a gastroenterology internal medicine in Jackson, MI with 43 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Essam Y. Tellawi, M.D. NPI is 1093715690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 205-4800

The NPI 1093715690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 4/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4301055821MICHIGANNo
2207RG0100XInternal MedicineGastroenterologyMD-45632IOWANo
3207RG0100XInternal MedicineGastroenterologyD34274MARYLANDNo
4207RG0100XInternal MedicineGastroenterology0101040870VIRGINIANo
5207RG0100XInternal MedicineGastroenterology4301055821MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1107596OTHERCIGNA
2110032815OTHERGEORGIARAILROAD MEDICARE
3219846OTHERVIRGINIABLUESHEILD
4477271700OTHERMARYLANDMEDICAL ASSISTANCE
5218537OTHERM.D. IPA
654284801OTHERMARYLANDCAREFIRST
7A618 0001OTHERDISTRICT OF COLUMBIACAREFIRST
8026092800OTHERDISTRICT OF COLUMBIAMEDICAL ASSISTANCE
91093715690OTHERVIRGINIAMEDICAID
102980177OTHEREVERCARE
1104834OTHERAMERIGROUP
124115912OTHERAETNA
13318537OTHERALLIANCE
14G02093S01OTHERDISTRICT OF COLUMBIAMEDICARE
15248N273GOTHERMARYLANDMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.