Individual provider Active NPI

Yeshanew Mekonnen Teklie, MD

  • Medical Oncology Physician
  • The Villages, FL
National Provider Identifier
1265993513
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME153995 Issued in FL
Practice address
2955 Brownwood Blvd Ste 107
The Villages, FL 32163-2040
Phone
(352) 765-7100
Fax
(352) 430-0210
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME153995 FL
Internal Medicine Physician 207R00000X ME153995 FL
Medical Oncology Physician 207RX0202X ME153995 FL Primary

Addresses

Primary practice location

2955 Brownwood Blvd Ste 107
The Villages, FL 32163-2040

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

601 E Dixie Ave Ste 1001
Leesburg, FL 34748-7309
Phone (352) 787-9448

Other practice location 2

1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987
Phone (352) 753-9777

Other identifiers 1

IdentifierTypeStateIssuer
126619200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230919002756 CA Practitioner - Internal Medicine 7113356809 Reassigns benefits to 1 organization
I20250513003088 FL Practitioner - Medical OncologyPractitioner - Hematology 7113356809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2955 Brownwood Blvd
Suite 107
The Villages, FL 32163-2036
Phone (352) 430-0210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 24, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Jul 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jul 24, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

601 E Dixie Ave
Ste 1001
Leesburg, FL 34748
Phone (352) 787-9448

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

4100 Waterman Way
Tavares, FL 32778
Phone (352) 343-1117

1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290

2955 Brownwood Blvd
Ste 107
The Villages, FL 32163
Phone (352) 765-7100

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1265993513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 107",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632040",
            "telephone_number": "352-765-7100",
            "fax_number": "352-430-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Dixie Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487309",
            "country_code": "US",
            "telephone_number": "352-787-9448",
            "fax_number": "352-787-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N US Highway 441 Ste 540",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598987",
            "country_code": "US",
            "telephone_number": "352-753-9777",
            "fax_number": "866-446-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKLIE",
        "first_name": "YESHANEW",
        "middle_name": "MEKONNEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME153995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153995",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME153995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126619200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.