ANDE TEWOLDE TESFAY NURSE PRACTITIONER NPI 1558835173

NPI Information

  • NPI: 1558835173
  • Provider Name: ANDE TEWOLDE TESFAY, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13419 SARENTO VLG
    SUGAR LAND, TX
    ZIP 77498
  • Phone: (415) 568-8230

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NPI Details

Ande Tewolde Tesfay, NURSE PRACTITIONER is an adult health nurse practitioner in Sugar Land, TX with 8 years of experience. Ande Tewolde Tesfay, NURSE PRACTITIONER NPI is 1558835173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13419 SARENTO VLG
SUGAR LAND, TX
ZIP 77498-270
Phone: (415) 568-8230

The NPI 1558835173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)

The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAP139951TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NONEOTHERTEXASNONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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