Essam Tellawi, M.D

InactiveIndividual ProviderGastroenterology
NPI issued: July 26, 2005

Quick Facts

NPI Number
1093715690
TypeIndividual
StatusInactive
SpecialtyGastroenterology
Taxonomy207RG0100X — Gastroenterology
Phone
(517) 205-4800
StateMI

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1093715690)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 26, 2005)
Data source: CMS NPPES

Provider Overview

ESSAM TELLAWI, M.D is a Gastroenterology provider based in Jackson, MI who has been registered with CMS since 2005. They are affiliated with Bronson Healthcare Group. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1093715690
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusInactive
Enumeration DateJuly 26, 2005

Practice Location

CityJackson
StateMI
ZIP Code49201-1753
Phone(517) 205-4800

Specialties & Licenses

★ Primary
SpecialtyGastroenterology
Taxonomy Code207RG0100X
License StateMI

Mailing Address

CityJackson
StateMI
ZIP Code49201-1753
Phone(517) 205-4800
Same as practice location

Hospital & Organization Affiliations

🏢

Bronson Healthcare Group

📍 Kalamazoo, MI

Hospital NPIY→

How to Use This NPI

📋

For Insurance Billing

Use NPI 1093715690 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1093715690for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1093715690 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Gastroenterology

Specialists in Gastroenterology provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Gastroenterologyproviders →
📊
21,831
Gastroenterology Providers in the US

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People Also Ask

What is Essam Tellawi's NPI number?
Essam Tellawi's NPI number is 1093715690, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Essam Tellawi's NPI currently active?
No, Essam Tellawi's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Essam Tellawi specialize in?
Essam Tellawi specializes in Gastroenterology. The healthcare taxonomy code associated with this specialty is 207RG0100X.
Where does Essam Tellawi practice?
Essam Tellawi practices in Jackson, MI 49201-1753.
When was Essam Tellawi's NPI issued?
Essam Tellawi's NPI was issued on July 26, 2005.
What is Essam Tellawi's provider type?
Essam Tellawi is registered as an Individual Provider under CMS NPI Type 1.