Active NPI
Tessa Watt, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301105122
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Jun 4, 2014
- Last updated
- May 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301105122 | MI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301105122 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Michigan Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (763) 525-1746
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview St John's Hospital
- M Health Fairview University of MN Medical Center
- M Health Fairview Woodwinds Hospital
- Fairview Lakes Health Services
- M Health Fairview Southdale Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301105122 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Regents of the University of Michigan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Pediatric Dental Clinic | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Healtheast St. John's Hospital | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
1500 E Medical Center Dr
Spc 5346
Ann Arbor, MI 48109
Phone (734) 936-5732
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- twatt810479@fairview.direct-ci.com
Organizations & group practices 24
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.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ann Arbor, MI
- NPI 1487689766
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba Fairview Clinics-Farmington
- Primary Care Clinic/Center
- Farmington, MN
- NPI 1043491749
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1144633488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "TESSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301105122",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301105122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.