ANTENEH A TESFAYE (MD) – Hematology & Oncology Physician, NPI 1003128810

ANTENEH A TESFAYE (MD) is a healthcare provider. based in Clarkston, Michigan. specializing in Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. 4301095841 (MI). The NPI Number for ANTENEH A TESFAYE (MD) is 1003128810

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANTENEH A TESFAYE (MD)
NPI
1003128810
Phone
(248) 922-6650
Address
5680 BOW POINTE DR
Enumeration Date
9 July 2010
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896351050
Graduation Year
2005 (21 years ago)
PAC ID
2264751924
Group Practice PAC ID
0547173213
Professional Enrollment ID
I20160705000941
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for ANTENEH A TESFAYE (MD)

  • 5680 BOW POINTE DR

    STE 202

    CLARKSTON, MI 483465407

    Phone: (248) 922-6650

    Fax: (313) 576-8627

    Type: Mailing

  • 4100 JOHN R ST

    DETROIT, MI 482012013

    Phone: (800) 527-6266

    Fax: (313) 576-8767

    Type: Location

  • 110 IRVING ST NW STE C2151

    WASHINGTON, DC 200103017

    Phone: (202) 877-6998

    Fax: (202) 877-8909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $5,341.

Total Amount is formed as General ($5,230) + Research ($111) + Ownership ($0) = $5,341.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Exelixis Inc. ($4,512).

Total Amount

$5,341

General + Research + Ownership

Payments

38

Total payment records

General Amount

$5,230

General payments

Research Amount

$111

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2015-04-30

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
I20150430000244IInternal MedicineDCTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes29869$0
99214Established patient office or other outpatient visit, 30-39 minutes17472$0
99441Telephone medical discussion with physician, 5-10 minutes4436$0
99213Established patient office or other outpatient visit, 20-29 minutes3834$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2515$0
View full utilization report →

Insurance plans in this area (ZIP 48346)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547173213View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ANTENEH A TESFAYE (MD)?
Save NPI 1003128810 if you need a stable reference for ANTENEH A TESFAYE (MD).
Is ANTENEH A TESFAYE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANTENEH A TESFAYE (MD)?
The page reflects Hematology & Oncology Physician for ANTENEH A TESFAYE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place ANTENEH A TESFAYE (MD)?
The snapshot lists Clarkston, Michigan for ANTENEH A TESFAYE (MD); download NPPES for the complete set.
Is ANTENEH A TESFAYE (MD) a real provider?
This page reflects official NPPES data for NPI 1003128810. Always confirm identity and privileges with the practice and licensing boards.

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