Tsega Negassi Tesfay

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704249622 Issued in MI

Practice address

2177 Auburn Rd
Shelby Township, MI 48317-3813

Phone

(586) 731-7520

NPI assigned

Nov 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ttesfay502017@direct.hfhs.org

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.

• Grace Endocrine Services PLLC

  • Internal Medicine Physician
  • Clinton Township, MI
  • NPI 1851866172
  Medicare reassignment NPD

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1225542202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 AUBURN RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173813",
            "telephone_number": "313-717-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 AUBURN RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173813",
            "telephone_number": "586-731-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAY",
        "first_name": "TSEGA",
        "middle_name": "NEGASSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704249622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalen Tchorzynski
• Edvin Telemi
• Donna M Termini, LMSW
• Kelly Anne Ternes, D.O.
• Julia Tesch, DO
• Maitrey Thakar
• Dheeraj Thammineni, M.D.
• The Connection Compass LLC
• The Gentle Dentist
• The Monarch Home

• Nurse Practitioner in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.