Active NPI
Nikola Teslovich, MD
- Urology Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD70003219
- Practice address
- 4033 Talbot Rd S Ste 500
Renton, WA 98055-5704 - Phone
- (425) 690-3493
- Fax
- (425) 690-9493
- NPI assigned
- Apr 2, 2019
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 11111 | CA | |
| Urology Physician | 208800000X | MD70003219 | WA | Primary |
Addresses
Primary practice location
4033 Talbot Rd S Ste 500
Renton, WA 98055-5704
Mailing address
4033 Talbot Rd S Ste 500
Renton, WA 98055-5704
Phone (425) 690-3493
Other practice location 1
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nteslovi@stanford.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Stanford University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4033 Talbot Rd S
Suite 500
Renton, WA 98055-5704
Phone (425) 656-5365
Hospital & facility affiliations
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11111 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4033 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- nteslovich128021@direct.valleymed.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1619439221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980555704",
"telephone_number": "425-690-3493",
"fax_number": "425-690-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980555704",
"telephone_number": "425-690-3493",
"fax_number": "425-690-9493"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-723-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESLOVICH",
"first_name": "NIKOLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "11111",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD70003219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nteslovi@stanford.edu",
"affiliation": "N",
"endpointDescription": "University Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 Pasteur Dr",
"city": "Stanford",
"state": "CA",
"country_code": "US",
"postal_code": "943052200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.