NPIMap

Individual provider Active NPI

Tesfaldet Tecle Michael, MD

  • Cardiovascular Disease Physician
  • Matthews, NC
National Provider Identifier
1376702522
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2017-01806 Issued in NC
Practice address
1401 Matthews Township Pkwy Ste 212&312
Matthews, NC 28105-5402
Phone
(704) 316-3131
Fax
(704) 316-3132
NPI assigned
Jun 3, 2008
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017-01806 NC
Cardiovascular Disease Physician 207RC0000X 2017-01806 NC Primary

Addresses

Primary practice location

1401 Matthews Township Pkwy Ste 212&312
Matthews, NC 28105-5402

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3131

Other practice location 1

1401 Matthews Township Pkwy Ste 212
Matthews, NC 28105-5403
Phone (704) 316-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmichael449095@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918000212 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113168592 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 330
Charlotte, NC 28204-3215
Phone (704) 384-5043

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Apr 9, 2018 Accepting new patients
Novant Medical Group, Inc Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Sep 19, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 13, 2019 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Feb 13, 2019 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1401 Matthews Township Pkwy
Ste 312
Matthews, NC 28105
Phone (704) 316-9001

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: tmichael449095@direct.novanthealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1376702522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 212&312",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055402",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Matthews Township Pkwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055403",
            "country_code": "US",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "TESFALDET",
        "middle_name": "TECLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-01806",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2017-01806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmichael449095@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1401 Matthews Township Pkwy Ste 212",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.