WAMIDH TELLOW (MD) – Family Medicine Physician, NPI 1235717042

WAMIDH TELLOW (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 25MA12372700 (NJ). The NPI Number for WAMIDH TELLOW (MD) is 1235717042

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
WAMIDH TELLOW (MD)
NPI
1235717042
Phone
(269) 337-4600
Address
1000 Oakland Dr
Enumeration Date
1 April 2021
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737316767
Graduation Year
2018 (8 years ago)
PAC ID
3870995988
Group Practice PAC ID
6204805419
Professional Enrollment ID
I20250114002136
Address ID
NJ070524112WE456XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for WAMIDH TELLOW (MD)

  • 1000 Oakland Dr

    Kalamazoo, MI 490081282

    Phone: (269) 337-4600

    Type: Location

  • 1400 SOUTH AVE # 1-429

    PLAINFIELD, NJ 070621964

    Phone:

    Type: Mailing

  • 1000 OAKLAND DR

    KALAMAZOO, MI 490081282

    Phone:

    Type: Mailing

  • 328 W SAINT GEORGES AVE

    LINDEN, NJ 070365638

    Phone: (908) 925-7519

    Fax: (908) 925-2842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250114002136IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204805419View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NJ
Nurse PractitionerNJ
Physician AssistantNJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Registered Dietitian Or Nutrition ProfessionalNJ
E N D O C R I N O L O G YNJ
Physician AssistantNJ
Sports Medicine, Family PracticeNJ
Internal MedicineNJ
Internal MedicineNJ

Reviews

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Frequently asked questions

What identifier follows WAMIDH TELLOW (MD) across health systems?
The NPI 1235717042 uniquely identifies WAMIDH TELLOW (MD) in U.S. healthcare data.
Should I treat WAMIDH TELLOW (MD) as an active provider?
Patients and plans typically see WAMIDH TELLOW (MD) as active in the national extract.
What type of care does WAMIDH TELLOW (MD) provide?
WAMIDH TELLOW (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit WAMIDH TELLOW (MD) in Kalamazoo, Michigan?
For routing, start with Kalamazoo, Michigan for WAMIDH TELLOW (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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