Individual provider Active NPI

Andrew Tzellas, M.D

  • Internal Medicine Physician
  • Napa, CA
National Provider Identifier
1003996042
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C183605 Issued in CA
Practice address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone
(707) 254-1770
NPI assigned
Oct 16, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 236059 NY
Family Medicine Physician 207Q00000X 236059 NY
Internal Medicine Physician 207R00000X 052165 CT
Internal Medicine Physician 207R00000X C183605 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485

Mailing address

1 Gold St Apt 5G
Hartford, CT 06103-2930
Phone (917) 885-9048

Other identifiers 1

IdentifierTypeStateIssuer
008045654MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210918000140 WA Practitioner - Family PracticePractitioner - Internal Medicine 8729012448 Reassigns benefits to 1 organization
I20230217001917 CA Practitioner - Internal Medicine 8729012448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236059NYMDFamily Medicine Physician
C183605CAMDInternal Medicine Physician
052165CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Multi-Specialty Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 6, 2023 Accepting new patients
Family Health Centers of San Diego, Inc Multi-Specialty Current Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 12, 2022 Accepting new patients
Union Health Center Family Medicine Past Accepting new patients
Clallam County Public Hospital District 2 PastSince Sep 20, 2021 Accepting new patients
Ole Health Multi-Specialty Past Accepting new patients

Locations

1111 W Chase Ave
El Cajon, CA 92020
Phone (619) 515-2499

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: atzellas704149@direct.ochin.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003996042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOLD ST APT 5G",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032930",
            "telephone_number": "917-885-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZELLAS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "236059",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236059",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "052165",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C183605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008045654",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.