Active NPI
John Tefteller, D.O.
- Sports Medicine (Family Medicine) Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 007266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170717003323 | AZ | Practitioner - Sports Medicine | 9032489505 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New 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 | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
AZ, Orthopaedic Surgery
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1477090801
Orthopaedic Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.