Active NPI
Marcelo Ernesto Brito Telles, MD
- Adult Medicine Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- Q1103
- Practice address
- 1512 Teasley LN
Denton, TX 76205-7282 - Phone
- (940) 566-5010
- NPI assigned
- Jul 6, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q1103 | TX | |
| Adult Medicine Physician | 207QA0505X | Q1103 | TX | Primary |
Addresses
Primary practice location
1512 Teasley LN
Denton, TX 76205-7282
Mailing address
2812 Dorset
The Colony, TX 75056-3592
Phone (779) 770-7011
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151102001542 | TX | Practitioner - Family Practice | 3476793563 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Appraise Health Clinic PLLC
Practice addresses (Care Compare)
1230 River Bend Dr
Suite 105
Dallas, TX 75247-4916
Phone (972) 559-8003
713 Hebron Pkwy
Suite 220
Lewisville, TX 75057-5135
Phone (972) 315-8588
Hospital & facility affiliations
- Chosen Home Health Service Inc
- Quantum Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Balance PLLC | Current | Accepting new patients | |
| Appraise Health Clinic, PLLC | Current | Accepting new patients | |
| Marcelo Brito MD, PCCL | Family Medicine | Current | Accepting new patients |
| Marcelo Brito MD, PLLC | Family Medicine | Current | Accepting new patients |
| North Texas Arrhythmia Associates PA | Past | Accepting new patients | |
| Pilot Point Family Practice Management Inc. | Family Medicine | Past | Accepting new patients |
Locations
1230 River Bend Dr
Ste 105
Dallas, TX 75247
Phone (972) 559-8003
713 Hebron Pkwy
Ste 220
Lewisville, TX 75057
Phone (972) 315-8588
Interoperability endpoints
- marcelo.britotelles@txbomo.eclinicaldirectplus.com
- marcelo.brito.1@29523.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/HGAGCD/Endpoint/HGAGCD
Organizations & group practices 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1144104522
-
- Clinical Cardiac Electrophysiology Physician
- Denton, TX
- NPI 1437480829
-
- Family Medicine Physician
- Pilot Point, TX
- NPI 1447617741
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dallas, TX
- NPI 1174853360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1699062018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 DORSET",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750563592",
"telephone_number": "779-770-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 TEASLEY LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762057282",
"telephone_number": "940-566-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITO TELLES",
"first_name": "MARCELO",
"middle_name": "ERNESTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2021-12-22",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q1103",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "Q1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.