MR. TESFAY K GSELASSIE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144219866

MR. TESFAY K GSELASSIE (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN 210348 (OH). The NPI Number for MR. TESFAY K GSELASSIE (CRNA) is 1144219866

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. TESFAY K GSELASSIE (CRNA)
NPI
1144219866
Phone
(972) 663-8523
Address
13601 PRESTON RD
Enumeration Date
15 October 2005
Last Update Date
4 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6823081688
Graduation Year
1997 (29 years ago)
PAC ID
2062658529
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20130429000601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. TESFAY K GSELASSIE (CRNA)

  • 13601, Preston Road, Dallas, Dallas County, Texas, 75254, United States

    STE 1000W

    DALLAS, TX 752404911

    Phone: (972) 663-8523

    Fax: (972) 663-8329

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650426

    Phone: (972) 715-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-04-29

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
I20130429000601ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75240)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Does MR. TESFAY K GSELASSIE (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. TESFAY K GSELASSIE (CRNA) uses 1144219866.
Is MR. TESFAY K GSELASSIE (CRNA) still practicing?
MR. TESFAY K GSELASSIE (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. TESFAY K GSELASSIE (CRNA)?
For research purposes, treat MR. TESFAY K GSELASSIE (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. TESFAY K GSELASSIE (CRNA) serve?
MR. TESFAY K GSELASSIE (CRNA)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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