NICHOLAS ALEXANDER TELISCHAK M.D. NPI 1629244850

NPI Information

  • NPI: 1629244850
  • Provider Name: NICHOLAS ALEXANDER TELISCHAK, M.D.
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 PASTEUR DR
    STANFORD, CA
    ZIP 94305
  • Phone: (650) 723-4000

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NPI Details

Nicholas Alexander Telischak, M.D. is a neuroradiology radiology in Stanford, CA with 18 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Nicholas Alexander Telischak, M.D. NPI is 1629244850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:2008

The provider's business location address is:

300 PASTEUR DR
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-4000

The NPI 1629244850 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.

  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of blood vessel (HCPCS:75898)
  • Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist (HCPCS:36224)
  • Review by radiologist of image for insertion of material to block blood flow (HCPCS:75894)
  • Occlusion of central nervous system or spinal cord artery (HCPCS:61624)
  • Insertion of tube into brain artery for diagnosis or treatment with review by radiologist (HCPCS:36226)
  • Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist (HCPCS:36227)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist (HCPCS:36223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Needle biopsy or removal of surface lymph nodes (HCPCS:38505)

The enumeration date for this NPI number is 5/7/2008 and was last updated on 4/5/2024.

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
12085N0700XRadiologyNeuroradiologyA109575CALIFORNIAYes
22085R0202XRadiologyDiagnostic RadiologyA109575CALIFORNIANo

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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