Individual provider Active NPI

Oren Tessler, MD, CM, MBA

  • Plastic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1407111248
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
55056 Issued in AZ
Practice address
3686 S Rome St
Gilbert, AZ 85297-7341
Phone
(480) 561-6185
Fax
(480) 561-6186
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD.206596 LA
Plastic Surgery Physician 208200000X 250899 MA
Plastic Surgery Physician 208200000X 55056 AZ Primary

Addresses

Primary practice location

3686 S Rome St
Gilbert, AZ 85297-7341

Mailing address

3219 E Camelback Rd # 581
Phoenix, AZ 85018-2307
Phone (480) 561-6185

Other practice location 1

4710 N 44th St
Phoenix, AZ 85018-3834
Phone (480) 561-6185

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
I20180302001730 AZ Practitioner - Plastic and Reconstructive Surgery 0143473256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55056AZMDPlastic Surgery Physician
MD.206596LAMDPlastic Surgery Physician
250899MAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tessler Plastic Surgery PLLC Plastic Surgery Current Accepting new patients

Locations

10910 N Tatum Blvd
Ste B100
Phoenix, AZ 85028
Phone (480) 291-6895

3219 E Camelback Rd
Phoenix, AZ 85018
Phone (480) 561-6185

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1407111248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD # 581",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "480-561-6185",
            "fax_number": "480-561-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977341",
            "telephone_number": "480-561-6185",
            "fax_number": "480-561-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183834",
            "country_code": "US",
            "telephone_number": "480-561-6185",
            "fax_number": "480-561-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESSLER",
        "first_name": "OREN",
        "name_prefix": "Dr.",
        "credential": "MD, CM, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.206596",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "250899",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "55056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.