Albert George Tesoriero, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G7011 Issued in TX

Practice address

4230 LBJ Fwy
Suite 520
Dallas, TX 75244-5806

Phone

(972) 599-1860

Fax

(866) 480-6586

NPI assigned

Jun 28, 2006

Last updated

Jan 20, 2015By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Radiology, P.a.

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1154433746
  NPD (past) Authorized official
• Vein Restoration Group, Inc.

  dba Total Leg Care

  • Vascular & Interventional Radiology Physician
  • Plano, TX
  • NPI 1306917943
  NPD (past) Authorized official
• Dallas Radiology,P.a.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1134356918
  NPD (past)
• DFW Open MRI, L.P.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dallas, TX
  • NPI 1942412630
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1952339392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 LBJ FWY",
            "address_2": "SUITE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "972-599-1860",
            "fax_number": "866-480-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LBJ FWY",
            "address_2": "SUITE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "972-599-1860",
            "fax_number": "866-480-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO",
        "first_name": "ALBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G7011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300074692",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR PROV ID",
            "identifier": "180974600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113724202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J8280",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1593231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abebu Y Tesfa, NP
• Dawit Tesfaye
• Getnet Taye Tesfaye, MD
• Meron Tesfaye
• Donna Tesla, CRNA
• Kidane Tessema
• Tesserae Genetics, Inc.
• Alexander H Tessnow, MD
• Tessy Medical Supply & Equipments
• Test First Premier Partners, LLC

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.