NPI Details
David L Tetrick is an internal medicine in Noblesville, IN with 43 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. David L Tetrick NPI is 1639183874. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983
The provider's business location address is:
9669 E 146TH ST
SUITE 310
NOBLESVILLE, IN
ZIP 46060-005
Phone: (317) 621-6170
Fax: (317) 621-6177
The NPI 1639183874 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.
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
- Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
- Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
- Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
- Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Advance care planning, first 30 minutes (HCPCS:99497)
The enumeration date for this NPI number is 7/27/2006 and was last updated on 11/27/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 01035208A | INDIANA | Yes |
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 |
| 1 | 000000659797 | OTHER | INDIANA | ANTHEM |
| 2 | 100335770 | MEDICAID | INDIANA | |
| 3 | 000000659374 | OTHER | INDIANA | ANTHEM |
