Active NPI
Mediget Teshome, MD
- Surgical Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- A101388
- Practice address
- 100 Medical Plaza Suite 310
Los Angeles, CA 90095-4009 - Phone
- (310) 825-2144
- NPI assigned
- Oct 4, 2007
- Last updated
- Jan 16, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P7360 | TX | |
| Surgical Oncology Physician | 2086X0206X | A101388 | CA | Primary |
Addresses
Primary practice location
100 Medical Plaza Suite 310
Los Angeles, CA 90095-4009
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331808101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- General Surgery
- Education
- University of Michigan Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922
1223 16TH St
Suite 1100
Santa Monica, CA 90404-1217
Phone (424) 259-8791
191 S Buena Vista St
Suite 415
Burbank, CA 91505-4541
Phone (818) 333-2555
200 Medical Plaza
Suite 120
Los Angeles, CA 90024-7002
Phone (310) 390-4099
2336 Santa Monica Blvd
Suite 304
Santa Monica, CA 90404-2067
Phone (310) 998-4747
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.82 of 100
- Quality
- 61.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101388 | CA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Surgical Oncology | Current | Accepting new patients |
| UCLA Medical Group | Surgery | Past | Accepting new patients |
| Ut MD Anderson Cancer Center | Past | Accepting new patients |
Locations
100 Medical Plz
Los Angeles, CA 90095
Phone (310) 825-2631
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
Regents Of The University
Los Angeles, CA 90074
309 W Quinto St
Santa Barbara, CA 93105
Phone (805) 563-0041
Interoperability endpoints
- mteshome1220647@direct.uclahealth.org
Organizations & group practices 3
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.
-
dba UCLA Surgical Oncology Associates
- Surgical Oncology Physician
- Los Angeles, CA
- NPI 1902861297
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1952521189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1699963678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PLAZA SUITE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900954009",
"telephone_number": "310-825-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESHOME",
"first_name": "MEDIGET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "P7360",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A101388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331808101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.