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LELLO TESEMA M.D.
NPI 1457613242
Student in an Organized Health Care Education/Training Program in Cambridge, MA

Active since June 08, 2012PECOS EnrolledAccepts Medicare Assignment
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-3600 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lello Tesema M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LELLO TESEMA M.D. (NPI 1457613242) is an individual student in an organized health care education/training program in Cambridge, Massachusetts, licensed in Massachusetts (252116) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457613242
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLELLO TESEMACredential: M.D.
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 665-3600
Phone(617) 665-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2012
✔ NPI 1457613242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 252116
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1493 CAMBRIDGE ST, Cambridge, MA 02139
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lello Tesema M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082106653
PECOS Enrollment IDI20251120004224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lello Tesema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Public Health
2,594 mi
Public Health & General Preventive Medicine
241 N FIGUEROA ST
Los Angeles, CA 90012
  • Reassigned Medicare billing, California enrollment
  • 60 clinicians in this Medicare group
NPI 1962109033 (213) 240-8204

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BLACK-SUCHY CCC-SLP
Speech-Language Pathologist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-6767
ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lello Tesema's NPI number?

The NPI number for Lello Tesema is 1457613242. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Lello Tesema located?

Lello Tesema practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-3600.

What is Lello Tesema's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lello Tesema enrolled in Medicare?

Yes. Lello Tesema is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lello Tesema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lello Tesema reassigns Medicare benefits to Los Angeles County Department Of Public Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lello Tesema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lello Tesema was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.