Derek Robert Tesoro, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DT001450 Issued in MI

Practice address

5400 Mackinaw
Suite 2100
Saginaw, MI 48604-9549

Phone

(989) 790-4662

Fax

(989) 790-7680

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Saginaw Valley Foot and Ankle CenterGroup PAC ID 4385765130, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as group

Quality

88.12

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dtesoro455@direct.covenanthealthcare.com

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.

• Saginaw Valley Foot & Ankle Center

  • Podiatrist
  • Saginaw, MI
  • NPI 1871778647
  Medicare reassignment Care Compare group NPD Authorized official

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

• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1891873022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW",
            "address_2": "SUITE 2100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049549",
            "telephone_number": "989-790-4662",
            "fax_number": "989-790-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW",
            "address_2": "SUITE 2100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049549",
            "telephone_number": "989-790-4662",
            "fax_number": "989-790-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORO",
        "first_name": "DEREK",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DT001450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480019411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4857311150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11290415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terapuet Counseling & Consultation
• Angela Terrell
• Grace M Tervo
• Brian Fitzgerald Tesler, M.D.
• Taylor Lilamia Tesoro-Fila, DPM
• Claire Thane
• Sydney Thayer
• The KRB Home Agency LLC
• The Standing Company
• The Young Mens Christian Association of Saginaw

• Podiatrist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.

Verify at the official NPI Registry.