Active NPI
Oren Tessler, MD, CM, MBA
- Plastic Surgery Physician
- Gilbert, AZ
National Provider Identifier
1407111248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 55056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 55056 | AZ | MD | Plastic Surgery Physician |
| MD.206596 | LA | MD | Plastic Surgery Physician |
| 250899 | MA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Plastic Surgery Physician
- Phoenix, AZ
- NPI 1205333432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.