DR. TASSEW TESFAYE (M.D.) – Family Medicine Physician, NPI 1710974696

DR. TASSEW TESFAYE (M.D.) is a healthcare provider. based in Stone mountain, Georgia. specializing in FAMILY PRACTICE, GYNECOLOGICAL ONCOLOGY, INFECTIOUS DISEASE, OBSTETRICS/GYNECOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 047542 (GA). The NPI Number for DR. TASSEW TESFAYE (M.D.) is 1710974696

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. TASSEW TESFAYE (M.D.)
NPI
1710974696
Phone
(404) 809-2480
Address
4958 MEMORIAL DR
Enumeration Date
5 October 2005
Last Update Date
23 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
1759286784
Professional Enrollment ID
I20031203000595
Address ID
GA300834148St4958XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. TASSEW TESFAYE (M.D.)

  • Haven Hotel -Stone Mountain, Memorial Drive, DeKalb County, Georgia, 30021, United States

    STONE MOUNTAIN, GA 300834148

    Phone: (404) 809-2480

    Fax: (404) 809-2485

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Abbott Laboratories ($56).

Total Amount

$164

General + Research + Ownership

Payments

10

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031203000595IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes269102$0
36415Insertion of needle into vein for collection of blood sample11375$0
99213Established patient office or other outpatient visit, 20-29 minutes10449$0
81002Urinalysis, manual test6748$0
71046X-ray of chest, 2 views2015$0
View full utilization report →

Insurance plans in this area (ZIP 30083)

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Provider's Procedures

DR. TASSEW TESFAYE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test5442

Reviews

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Frequently asked questions

How do payers reference DR. TASSEW TESFAYE (M.D.)?
For DR. TASSEW TESFAYE (M.D.), use NPI 1710974696 as the unique 10-digit identifier.
Is there an active status for DR. TASSEW TESFAYE (M.D.)?
For scheduling context, DR. TASSEW TESFAYE (M.D.) is shown as active in the registry.
What area of care is associated with DR. TASSEW TESFAYE (M.D.)?
DR. TASSEW TESFAYE (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TASSEW TESFAYE (M.D.) located near Stone Mountain?
DR. TASSEW TESFAYE (M.D.) currently maps to Stone Mountain, Georgia in this extract.
When was this NPI issued?
Enumeration for DR. TASSEW TESFAYE (M.D.) is noted as October 5, 2005 where the registry provides it.

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