Active NPI
Jason Tedesco, MD
- Anatomic Pathology & Clinical Pathology Physician
- Sarasota, FL
National Provider Identifier
1861696353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME 114749
- Practice address
- 2001 Webber St
Sarasota, FL 34239-5237 - Phone
- (941) 362-8900
- NPI assigned
- Jun 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME 114749 | FL | Primary |
Addresses
Primary practice location
2001 Webber St
Sarasota, FL 34239-5237
Mailing address
2001 Webber St
Sarasota, FL 34239-5237
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
- Pathology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Webber St
Sarasota, FL 34239-5237
Phone (941) 362-8900
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- Desoto Memorial Hospital
- H Lee Moffitt Cancer Center & Research Institute I
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 114749 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Clack Spencer White & McCormack PA | Current | Accepting new patients | |
| DRS Clack Spencer White & McCormack PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
2001 Webber St
Sarasota, FL 34239
Phone (941) 362-8900
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Sarasota, FL
- NPI 1265494702
-
- Clinical Medical Laboratory
- Sarasota, FL
- NPI 1124354410
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Arcadia, FL
- NPI 1528387842
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1861696353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 WEBBER ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 WEBBER ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395237",
"telephone_number": "941-362-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDESCO",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME 114749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.