Active NPI
Hassan A Tetteh, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 0101245216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217604 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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
- 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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
dba VHC Health Medical Group Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1669782686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.