Goran Tesic, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R8499 Issued in TX

Practice address

601 Old Wagner Rd BLDG D
Petersburg, VA 23805-9313

Phone

(888) 628-8272

NPI assigned

Aug 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, VA, MD3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Vascular Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Vanguard Vascular and Vein, PLLCGroup PAC ID 2668630724, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.8

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGECDD

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.

• Mountain Spring Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Warrenton, VA
  • NPI 1639770621

  MD

  Medicare reassignment Care Compare group NPD
• Vanguard Vascular & Vein, PLLC

  • Vascular Surgery Physician
  • Rowlett, TX
  • NPI 1538452180
  Medicare reassignment Care Compare group NPD
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Rizwan H Bukhari MD PA

  • Vascular Surgery Physician
  • Mesquite, TX
  • NPI 1871918938
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Mountain Spring Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Nottingham, MD
  • NPI 1023807567
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897

  Surgery

  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• North Texas Vascular Center PA

  • Surgery Physician
  • Mesquite, TX
  • NPI 1679981492
  NPD (past)

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

• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1174802334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530101",
            "telephone_number": "888-628-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD BLDG D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "888-628-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5589 Greenwich Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626565",
            "country_code": "US",
            "telephone_number": "888-628-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESIC",
        "first_name": "GORAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "R8499",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "125715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Olivia Taylor House, LLC

• Vascular Surgery Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.

Verify at the official NPI Registry.