NPIMap

Organization Active NPI

Tesai,PLC

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1174180780
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TESAI,PLC
Practice address
9139 W Thunderbird Rd Ste 265
Peoria, AZ 85381-4922
Phone
(602) 777-7011
Fax
(602) 777-4497
NPI assigned
May 20, 2019
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Mr. Pedro Rodriguez, MD
Title
Owner
Phone
(602) 777-7011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Infectious Disease Physician 207RI0200X NU

Addresses

Primary practice location

9139 W Thunderbird Rd Ste 265
Peoria, AZ 85381-4922

Mailing address

9139 W Thunderbird Rd Ste 265
Peoria, AZ 85381-4922
Phone (602) 777-7011

Other identifiers 1

IdentifierTypeStateIssuer
599048MedicaidAZ

National Provider Directory

National Provider Directory

Locations

13624 W Camino del Sol
Ste 150
Sun City West, AZ 85375
Phone (623) 546-0203

14506 W Granite Valley Dr
Ste 121
Sun City West, AZ 85375
Phone (602) 584-7874

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1174180780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 265",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814922",
            "telephone_number": "602-777-7011",
            "fax_number": "623-777-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 265",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814922",
            "telephone_number": "602-777-7011",
            "fax_number": "602-777-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESAI,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-777-7011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599048",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.