Active NPI
Allen N Tesser, MD
- Dermatology Physician
- Sterling Heights, MI
National Provider Identifier
1124002860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301035199
- Practice address
- 3058 Metropolitan Pkwy
Ste 208
Sterling Heights, MI 48310 - Phone
- (586) 939-6400
- Fax
- (586) 939-6401
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301035199 | MI | Primary |
Addresses
Primary practice location
3058 Metropolitan Pkwy
Ste 208
Sterling Heights, MI 48310
Mailing address
3058 Metropolitan Pkwy
Ste 208
Sterling Heights, MI 48310
Phone (586) 939-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301035199 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Dermatologists, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Sterling Heights, MI
- NPI 1982722047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124002860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3058 METROPOLITAN PKWY",
"address_2": "STE 208",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-939-6400",
"fax_number": "586-939-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3058 METROPOLITAN PKWY",
"address_2": "STE 208",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-939-6400",
"fax_number": "586-939-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSER",
"first_name": "ALLEN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301035199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.