Individual provider Active NPI

Alan S Tesler, M.D.

  • Radiation Oncology Physician
  • Burien, WA
National Provider Identifier
1629092705
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00022222 Issued in WA
Practice address
16233 Sylvester Road SW, Suite 120
C/O Swedish Cancer Institute @ Highline
Burien, WA 98166
Phone
(206) 386-2626
Fax
(206) 246-7344
NPI assigned
Jul 26, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00022222 WA Primary

Addresses

Primary practice location

16233 Sylvester Road SW, Suite 120
C/O Swedish Cancer Institute @ Highline
Burien, WA 98166

Mailing address

PO Box 3713
Seattle, WA 98124-3713
Phone (206) 749-5130

Other identifiers 1

IdentifierTypeStateIssuer
1005115MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00022222WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tumor Institute Radiation Oncology Group LLP Radiation Oncology PastSince Sep 8, 2019 Accepting new patients
Tirog at Valley PLLC Radiation Oncology Past Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1629092705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3713",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243713",
            "telephone_number": "206-749-5130",
            "fax_number": "206-749-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER ROAD SW, SUITE 120",
            "address_2": "C/O SWEDISH CANCER INSTITUTE @ HIGHLINE",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-386-2626",
            "fax_number": "206-246-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESLER",
        "first_name": "ALAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00022222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.