Individual provider Active NPI

Tessa Emerald Newman, D.O.

  • Anesthesiology Physician
  • Pueblo, CO
National Provider Identifier
1679992507
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0060564 Issued in CO
Practice address
400 W 16TH St
Pueblo, CO 81003
Phone
(719) 584-4000
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X DR.0060564 CO Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003

Mailing address

116 Washington St Apt 4F
Binghamton, NY 13901-3117
Phone (303) 520-7759

Other practice location 1

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-5007
Phone (216) 844-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220611000139 FL Practitioner - Anesthesiology 3678797958 Reassigns benefits to 4 organizations
I20231101002888 CO Practitioner - Anesthesiology 3678797958

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

206 2ND St E
Manatee Memorial Hospital
Bradenton, FL 34208-1042
Phone (941) 746-5111

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

6901 Simmons Loop
Riverview, FL 33578-9498

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0060564COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 16, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Anesthesiology CurrentSince Mar 20, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 15, 2022 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 11, 2024 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 18, 2024 Accepting new patients
Baycare Medical Group, Inc CurrentSince Dec 16, 2023 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1679992507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WASHINGTON ST APT 4F",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013117",
            "telephone_number": "303-520-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-584-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_2": "University Hospitals Case Medical Center",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441065007",
            "country_code": "US",
            "telephone_number": "216-844-7335",
            "fax_number": "216-844-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TESSA",
        "middle_name": "EMERALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0060564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.