Active NPI
Angel E Tejeda, M.D.
- Nephrology Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME0065366
- Practice address
- 4305 E 8TH Ave
Suite C
Hialeah, FL 33013-2465 - Phone
- (305) 693-6305
- Fax
- (305) 456-0082
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME0065366 | FL | Primary |
Addresses
Primary practice location
4305 E 8TH Ave
Suite C
Hialeah, FL 33013-2465
Mailing address
4305 E 8TH Ave
Suite C
Hialeah, FL 33013-2465
Phone (305) 693-6305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376300501 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Nephrology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1475 W 49TH PL
Hialeah, FL 33012-3113
Phone (305) 558-2500
2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000
4305 E 8TH Ave
Suite C
Hialeah, FL 33013-2465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0065366 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu Salud Medical Services Inc | Current | Accepting new patients |
Locations
900 Park Centre Blvd
Ste 400A
Miami Gardens, FL 33169
Phone (305) 912-8603
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 and National Provider Directory roles.
-
- Nephrology Physician
- Hialeah, FL
- NPI 1952604498
-
dba Tu Salud Medical Centers
- Urology Physician
- Miami Gardens, FL
- NPI 1376913053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1710905914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 E 8TH AVE",
"address_2": "SUITE C",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330132465",
"telephone_number": "305-693-6305",
"fax_number": "305-456-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 E 8TH AVE",
"address_2": "SUITE C",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330132465",
"telephone_number": "305-693-6305",
"fax_number": "305-456-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJEDA",
"first_name": "ANGEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME0065366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376300501",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.