Active NPI
Jonathan Ariel Tepp, MD
- Anatomic Pathology & Clinical Pathology Physician
- Galveston, TX
National Provider Identifier
1720608896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- D0106656
- Practice address
- 301 University Blvd
Galveston, TX 77555-5303 - Phone
- (409) 747-3376
- NPI assigned
- Apr 20, 2020
- Last updated
- Apr 23, 2026
- 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 |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | D0106656 | MD | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D0106656 | MD | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5303
Mailing address
PO Box 23329
New York, NY 10087-3329
Other practice location 1
810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061-4987
Phone (410) 766-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Pathology
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0106656 | MD | MD | Dermatopathology (Pathology) Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Annapolis, MD
- NPI 1063481703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1720608896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555303",
"telephone_number": "409-747-3376"
}
],
"practiceLocations": [
{
"address_1": "810 Landmark Dr Ste 217-219",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210614987",
"country_code": "US",
"telephone_number": "410-766-1324",
"fax_number": "410-766-4177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEPP",
"first_name": "JONATHAN",
"middle_name": "ARIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MD",
"license": "D0106656",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D0106656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
- Teen Health Center, Inc.
- Teen Health Center, Inc.
- Jeffery R Temple, PHD
- Kaelan Gabrielle Temple, MD
- Andrea Fidelia Tenreiro Carneiro, MD
- Jonathan Teran, MD
- Sereya Korin Tereska, BSN, RN
- Yuri Terunuma, MD
- Texas Em-I Medical Services PA
- Texas Home Health Skilled Services,LP (AccentCare Home Health of Texas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.