Individual provider Active NPI

Hassan A Tetteh, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fairfax, VA
National Provider Identifier
1730346156
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101245216 Issued in VA
Practice address
8081 Innovation Park Dr Ste 800
Fairfax, VA 22031-4867
Phone
(571) 472-4600
Fax
(571) 665-6885
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 217604 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101245216 VA Primary
Surgery Physician 208600000X 217604 NY

Addresses

Primary practice location

8081 Innovation Park Dr Ste 800
Fairfax, VA 22031-4867

Mailing address

580 E 94TH St
Brooklyn, NY 11236-1104
Phone (917) 568-8400

Other practice location 1

2921 Telestar Ct
Suite 140
Falls Church, VA 22042-1205
Phone (703) 280-1473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 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
I20100514000035 DC Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 9032247259 Reassigns benefits to 2 organizations
I20170406000285 NY Practitioner - Thoracic Surgery 9032247259 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217604NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 11, 2024 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 1, 2017 Accepting new patients
Mercy Hospital CurrentSince Mar 1, 2017 Accepting new patients
Inova Health Care Services CurrentSince Nov 11, 2024 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8081 Innovation Park Dr
Ste 800
Fairfax, VA 22031
Phone (571) 472-4600

2921 Telestar Ct
Ste 140
Falls Church, VA 22042
Phone (703) 280-1473

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2921 Telestar Ct
Falls Church, VA 22042
Phone (703) 591-1280

Interoperability endpoints

  • Direct secure messaging: htetteh28907@soc.inova.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1730346156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E 94TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361104",
            "telephone_number": "917-568-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-4600",
            "fax_number": "571-665-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 Telestar Ct",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421205",
            "country_code": "US",
            "telephone_number": "703-280-1473",
            "fax_number": "703-280-2654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "HASSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "217604",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101245216",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "217604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.