Tekle Didebulidze, M.D.
NPI 1164005054 · Student in an Organized Health Care Education/Training Program · Providence, RI
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tekle Didebulidze, M.D. is a Student in an Organized Health Care Education/Training Program provider in Providence, RI (NPI 1164005054).
Provider details
- NPI number
- 1164005054
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- CLP06479 (RI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense CLP06479 (RI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Tekle Didebulidze's NPI number?
- Tekle Didebulidze's National Provider Identifier (NPI) is 1164005054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tekle Didebulidze's specialty?
- Tekle Didebulidze is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Tekle Didebulidze located?
- Tekle Didebulidze's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Tekle Didebulidze's phone number?
- The practice phone number listed in the NPPES registry for Tekle Didebulidze is (401) 793-2695.
- Does Tekle Didebulidze accept Medicare?
- Tekle Didebulidze is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tekle Didebulidze's NPI active?
- Yes — Tekle Didebulidze's NPI (1164005054) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.