Active NPI
Tesfay K Gselassie, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 587747
- Practice address
- 13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911 - Phone
- (972) 663-8523
- Fax
- (972) 663-8329
- NPI assigned
- Oct 15, 2005
- Last updated
- Mar 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 587747 | TX | Primary |
| Registered Nurse | 163W00000X | RN 210348 | OH |
Addresses
Primary practice location
13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911
Mailing address
PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 210348 | OH | MD | Registered Nurse |
| 587747 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Anesthesia of North Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palo Pinto County Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients |
Locations
1001 N Waldrop Dr
Ste 701
Arlington, TX 76012
Phone (817) 265-4844
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Arlington, TX
- NPI 1598949661
Nurse Anesthetist, Certified Registered
-
dba Palo Pinto General Hospital
- Anesthesiology Physician
- Mineral Wells, TX
- NPI 1841258076
Nurse Anesthetist, Certified Registered
-
dba Palo Pinto General Hospital Pulmonology
- Cardiovascular Disease Physician
- Mineral Wells, TX
- NPI 1366400582
-
dba Palo Pinto Mobile Clinic
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1376278366
-
dba Community Care Center
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1922056993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1144219866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650426",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650426",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"address_2": "STE 1000W",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-663-8523",
"fax_number": "972-663-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GSELASSIE",
"first_name": "TESFAY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-15",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "587747",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN 210348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.