NPIMap

Individual provider Active NPI

Brian A Tessaro, D.O.

  • Emergency Medicine Physician
  • Bentonville, AR
National Provider Identifier
1043693724
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-15642 Issued in AR
Practice address
3000 Medical Center Pkwy
Bentonville, AR 72712-3217
Phone
(479) 553-1000
NPI assigned
Jun 30, 2015
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-15642 AR Primary
Hospitalist Physician 208M00000X 34013668 OH
Emergency Medicine Physician 207P00000X 34.013668 OH

Addresses

Primary practice location

3000 Medical Center Pkwy
Bentonville, AR 72712-3217

Mailing address

3000 Medical Center Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190627001162 MO Practitioner - Emergency Medicine 9638416654 Reassigns benefits to 7 organizations
I20220829002722 AR Practitioner - Emergency Medicine 9638416654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians
Salem Memorial HospitalGroup PAC ID 7012801129, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

35629 Hwy 72
Salem, MO 65560-7217
Phone (573) 729-6626

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013668OHMDEmergency Medicine Physician
34013668OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar County Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jul 1, 2019 Accepting new patients
Salem Memorial Hospital Current Accepting new patients
Cedar County Memorial Hospital Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Cedar County Memorial Hospital CurrentSince Apr 11, 2022 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Salem Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Labette County Medical Center Current Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 16, 2022 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 3, 2024 Accepting new patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Labette County Medical Center CurrentSince Apr 9, 2022 Accepting new patients
Labette County Medical Center CurrentSince Apr 9, 2022 Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000

Interoperability endpoints

  • Direct secure messaging: brian.tessaro@directsbamh.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1043693724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL CENTER PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123217",
            "telephone_number": "479-553-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL CENTER PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123217",
            "telephone_number": "479-553-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSARO",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-15642",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34013668",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.