BRIAN D TEDESCO D.P.M. NPI 1588628853

NPI Information

  • NPI: 1588628853
  • Provider Name: BRIAN D TEDESCO, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 53 MAIN ST
    SOMERVILLE, MA
    ZIP 02145
  • Phone: (617) 629-2304

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NPI Details

Brian D Tedesco, D.P.M. is a podiatrist in Somerville, MA with 25 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Brian D Tedesco, D.P.M. NPI is 1588628853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2001

The provider's business location address is:

53 MAIN ST
SOMERVILLE, MA
ZIP 02145-448
Phone: (617) 629-2304

The NPI 1588628853 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).

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into tendon or ligament (HCPCS:20550)
  • Placement of strapping to ankle or foot (HCPCS:29540)

The enumeration date for this NPI number is 4/13/2006 and was last updated on 8/31/2011.

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
1213ES0131XPodiatristFoot Surgery2199MASSACHUSETTSNo
2213E00000XPodiatrist2199MASSACHUSETTSYes

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
1002199OTHERMASSACHUSETTSTUFTSHEALTH CARE
2Y75126MEDICARE ID-TYPE UNSPECIFIED
3Y71104OTHERMASSACHUSETTSBLUE CROSS/BLUE SHIELD
4972127OTHERMASSACHUSETTSNETWORK HEALTH
52180343OTHERMASSACHUSETTSHEALTHCARE VALUE
60032245OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
7202648900OTHERDEPT. OF LABOR-WC
8U95084MEDICARE UPIN
9DB4378OTHERMASSACHUSETTSRAILROAD MEDICARE
102180343OTHERMASSACHUSETTSFIRST HEALTH-MA LABORERS
11334226OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
120364011MEDICAIDMASSACHUSETTS
1311318840OTHERCAQH
14746579OTHERMASSACHUSETTSCIGNA
1596048OTHERMASSACHUSETTSFALLON
1649174500001MEDICARE NSC

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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