PEDRO SOIBELMANN TETELBOM M.D. NPI 1346736337

NPI Information

  • NPI: 1346736337
  • Provider Name: PEDRO SOIBELMANN TETELBOM, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: RETINA ASSOCIATES, P.A.
    9800 BAPTIST HEALTH DRIVE, SUITE 200
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 219-0900

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NPI Details

Pedro Soibelmann Tetelbom, M.D. is a retina specialist ophthalmology in Little Rock, AR with 14 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Pedro Soibelmann Tetelbom, M.D. NPI is 1346736337. 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:

RETINA ASSOCIATES, P.A.
9800 BAPTIST HEALTH DRIVE, SUITE 200
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 219-0900
Fax: (501) 312-4750

The NPI 1346736337 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.

  • Imaging of retina (HCPCS:92134)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/2/2018 and was last updated on 8/21/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207W00000XOphthalmologyE-15207ARKANSASNo
3207WX0107XOphthalmologyRetina SpecialistE15207ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1285432001MEDICAIDARKANSAS

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: 11/21/2025

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