Individual provider Active NPI

Ganana Tesfa, M.D.

  • Specialist
  • Mansfield, TX
National Provider Identifier
1891844577
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2800 E Broad St Ste 517
Mansfield, TX 76063-6417
Phone
(817) 592-3360
Fax
(817) 549-5151
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TX Primary
Neurology Physician 2084N0400X H7663 TX

Addresses

Primary practice location

2800 E Broad St Ste 517
Mansfield, TX 76063-6417

Mailing address

2800 E Broad St Ste 517
Mansfield, TX 76063-6417
Phone (817) 592-3360

Other identifiers 2

IdentifierTypeStateIssuer
6R7554OtherTXGROUP MEDICARE PTAN
8XC232OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000505 TX Practitioner - Neurology 9335282615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mansfield Neurology Associates PLLCGroup PAC ID 8022551357, 2 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 517
Mansfield, TX 76063-6417
Phone (817) 688-4451

Hospital & facility affiliations

  • Care of Excellence Home Health Home health agency, Mansfield, TX, CCN 679654
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC CurrentSince Aug 1, 2012 Accepting new patients
Mansfield Neurology Associates PLLC Specialist CurrentSince Apr 19, 2024 Accepting new patients
Medhealth Current Accepting new patients
Medhealth CurrentSince Sep 4, 2018 Accepting new patients

Locations

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 504
Mansfield, TX 76063
Phone (817) 225-0410

2800 E Broad St
Ste 517
Mansfield, TX 76063
Phone (817) 592-3360

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1891844577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 517",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "817-592-3360",
            "fax_number": "817-549-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 517",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "817-592-3360",
            "fax_number": "817-549-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFA",
        "first_name": "GANANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H7663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "6R7554",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8XC232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.