Anthony Tedesco, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DO-05615 Issued in IA

Practice address

202 4TH Ave Ste 201
Grinnell, IA 50112-1898

Phone

(515) 224-1414

Fax

(515) 224-5140

NPI assigned

Jul 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anthony Tedesco Other name

Medicare fee-for-service enrollment

Enrolled in CA, IA2 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

Specialty

Orthopedic Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atedesco748574@direct.unitypoint.org
• Direct secure messaging: atedesco317407@scrippshlth.medalliesdirect.net

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.

• Grinnell Regional Medical Center

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Des Moines Orthopaedic Surgeons PC

  • Orthopaedic Surgery Physician
  • West Des Moines, IA
  • NPI 1255405221

  Multi-Specialty

  Medicare reassignment NPD
• Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
  • NPI 1114783719
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891

  Multi-Specialty

  NPD
• Grinnell Regional Medical Center

  • Home Health Agency
  • Grinnell, IA
  • NPI 1780681379
  NPD (past)

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

• Grinnell Regional Medical Center

  • General Acute Care Hospital
  • Grinnell, IA
  • NPI 1669420501
  Care Compare affiliation

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1275940371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 4TH AVE STE 201",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 4TH AVE STE 201",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "DO-05615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "TEDESCO",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janell L Sumner, OTR
• Reece Anthony Sunclades, PSYD
• Stephen Merrill Sundberg, M.D.
• Surgical Associates, LLP
• Lily Swedenhjelm, RDN, LD
• The Grinnell Institute for Bone Health
• The Mental Health Lab, PLLC
• Carissa Leigh Tigges, ATC
• Jessica J Tokle, ARNP
• Total Rehab-Orthopedic and Sports Specialist, P.C.

• Orthopaedic Surgery Physician in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.