Active NPI
Francisco A Tello III, DPM
- Podiatrist
- Bismarck, ND
National Provider Identifier
1376641035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36
- Practice address
- 225 N 7TH St
Bismarck, ND 58501-4417 - Phone
- (701) 323-6000
- Fax
- (701) 323-5858
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36 | ND | Primary |
Addresses
Primary practice location
225 N 7TH St
Bismarck, ND 58501-4417
Mailing address
PO Box 5501
Bismarck, ND 58506-5501
Phone (701) 323-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10497 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
606 1St St NW
Mandan, ND 58554-3121
Phone (701) 751-2641
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36 | ND | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Valley Foot & Ankle Clinic | Current | Accepting new patients | |
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
606 1st St NW
Mandan, ND 58554
Phone (701) 667-0745
Interoperability endpoints
- francisco.tello@mvfaacp-nd.direct.office.nextgen.com
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.
-
- Podiatric Clinic/Center
- Mandan, ND
- NPI 1831761634
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1629113253
-
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1376641035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5501",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585065501",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014417",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLO",
"first_name": "FRANCISCO",
"middle_name": "A",
"name_suffix": "III",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ND",
"license": "36",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10497",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.