Individual provider Active NPI

Alemnesh Mesfin Tekle, MD

  • Internal Medicine Physician
  • Weymouth, MA
National Provider Identifier
1245387752
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151325 Issued in CA
Practice address
55 Fogg Rd
Weymouth, MA 02190
Phone
(781) 624-8719
Fax
(781) 682-5627
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151325 CA Primary

Addresses

Primary practice location

55 Fogg Rd
Weymouth, MA 02190

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 977-4639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181205003537 CA Practitioner - HospitalistPractitioner - Internal Medicine 3072669332 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
151325CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Nov 16, 2020 Accepting new patients
County of Santa Clara CurrentSince May 17, 2022 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 26, 2023 Accepting new patients
County of Santa Clara CurrentSince May 17, 2022 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 13, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
County of Santa Clara CurrentSince May 17, 2022 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Jun 26, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 16, 2020 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
County of Santa Clara CurrentSince May 17, 2022 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: atekle562314@hisp.ehr.sutterhealth.org
  • Direct secure messaging: alemnesh.tekle.1@29786.direct.athenahealth.com
  • Direct secure messaging: atekle65097@sharphealthcare.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1245387752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4639",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-624-8719",
            "fax_number": "781-682-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLE",
        "first_name": "ALEMNESH",
        "middle_name": "MESFIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "151325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.