Individual provider Active NPI

John Tefteller, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Gilbert, AZ
National Provider Identifier
1396182010
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
007266 Issued in AZ
Practice address
1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001
Phone
(480) 964-2908
Fax
(480) 833-2136
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 007266 AZ
Sports Medicine (Family Medicine) Physician 207QS0010X 007266 AZ Primary

Addresses

Primary practice location

1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170717003323 AZ Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9032489505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Hospital & facility affiliations

  • Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Current Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery CurrentSince Aug 23, 2017 Accepting new patients

Locations

525 S Chandler Village Dr
Ste 1
Chandler, AZ 85226
Phone (480) 750-0303

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944

1675 E Melrose St
Unit 101103
Gilbert, AZ 85297

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Interoperability endpoints

  • Direct secure messaging: johntefteller@asjh.medalliesdirect.net

Organizations & group practices 3

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 1

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1396182010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E MELROSE ST STE 101-103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971001",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFTELLER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "007266",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "007266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.