MARILYNN TEDJA (MD) – Hospitalist Physician, NPI 1013335108

MARILYNN TEDJA (MD) is a healthcare provider. based in Houston, Texas. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R1307 (TX). The NPI Number for MARILYNN TEDJA (MD) is 1013335108

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARILYNN TEDJA (MD)
NPI
1013335108
Phone
Not provided
Address
909 FROSTWOOD DR STE 1.100
Enumeration Date
4 April 2014
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
7134420000
Graduation Year
2014 (12 years ago)
PAC ID
7810267879
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20180212001677
Address ID
TX770302312HO6624XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,297 HOSPITALIST in TX

Provider Addresses for MARILYNN TEDJA (MD)

  • 909 FROSTWOOD DR STE 1.100

    HOUSTON, TX 770242301

    Phone:

    Type: Mailing

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 16100 SOUTH FWY

    PEARLAND, TX 775841895

    Phone: (713) 413-6587

    Type: Location

  • 6624 Fannin St Fl 19

    Houston, TX 770302312

    Phone: (713) 442-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170724003307IInternal MedicineCATBD
I20180212001677IHospitalistTXTBD
I20180607002151IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes284101$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9343$0
99239Hospital discharge day management, more than 30 minutes6969$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 77024)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA
N E U R O L O G YTX

Reviews

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Frequently asked questions

What is MARILYNN TEDJA (MD)'s NPI number?
MARILYNN TEDJA (MD)'s NPI is 1013335108 — the number used across U.S. healthcare to identify this provider.
Would MARILYNN TEDJA (MD) appear as active to a payer?
You can treat MARILYNN TEDJA (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MARILYNN TEDJA (MD)?
MARILYNN TEDJA (MD) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARILYNN TEDJA (MD)?
Travel planning: use Houston, Texas as the reference point for MARILYNN TEDJA (MD), then confirm.
When was this NPI issued?
Enumeration for MARILYNN TEDJA (MD) is noted as April 4, 2014 where the registry provides it.

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Unknown Individual

Hospitalist Physician
909 FROSTWOOD DR STE 1.100
NPI: 1003802240
Chasewood Park Drive, Houston, Harris County, Texas, 77070, United States
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