Individual provider Active NPI

Ande Tewolde Tesfay, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1558835173
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP139951 Issued in TX
Practice address
13419 Sarento VLG
Sugar Land, TX 77498-2270
Phone
(415) 568-8230
NPI assigned
Jan 16, 2019
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP139951 TX Primary

Addresses

Primary practice location

13419 Sarento VLG
Sugar Land, TX 77498-2270

Mailing address

13419 Sarento VLG # 314
Sugar Land, TX 77498-2270
Phone (415) 568-8230

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherTXNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219000627 TX Practitioner - Nurse Practitioner 6901275783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arolaeh IncGroup PAC ID 7719469675, 4 clinicians

Practice addresses (Care Compare)

3663 N Sam Houston Pkwy E
Suite 600
Houston, TX 77032-3611
Phone (281) 899-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients
Arolaeh Inc CurrentSince Dec 20, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344

2400 Augusta Dr
Ste 369
Houston, TX 77057
Phone (323) 545-4007

3663 N Sam Houston Pkwy E
Ste 600
Houston, TX 77032
Phone (281) 594-8953

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1558835173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 SARENTO VLG # 314",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982270",
            "telephone_number": "415-568-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 SARENTO VLG",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982270",
            "telephone_number": "415-568-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAY",
        "first_name": "ANDE",
        "middle_name": "TEWOLDE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP139951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.