Individual provider Active NPI

Tessa E Krantz, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Aventura, FL
National Provider Identifier
1649536228
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME130860 Issued in FL
Practice address
21414 W Dixie Hwy
Aventura, FL 33180-1144
Phone
(305) 965-0500
Fax
(954) 416-7538
NPI assigned
Apr 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD2019-0742 NM
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X NM
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME130860 FL Primary

Addresses

Primary practice location

21414 W Dixie Hwy
Aventura, FL 33180-1144

Mailing address

21414 W Dixie Hwy
Aventura, FL 33180-1144
Phone (305) 965-0500

Other practice location 1

1 University Of New Mexico
MSC (Obstetrics & Gynecology) 10 5580
Albuquerque, NM 87131-0001
Phone (505) 272-6387

Other practice location 2

4705 Montgomery Blvd NE Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500

Other practice location 3

4705 Montgomery Blvd NE Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130860FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group Inc Past Accepting new patients

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": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1649536228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21414 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801144",
            "telephone_number": "305-965-0500",
            "fax_number": "954-416-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21414 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801144",
            "telephone_number": "305-965-0500",
            "fax_number": "954-416-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico",
            "address_2": "MSC (Obstetrics & Gynecology) 10 5580",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6387",
            "fax_number": "505-272-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Montgomery Blvd NE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Montgomery Blvd NE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "TESSA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NM",
            "license": "MD2019-0742",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME130860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.