DR. DESAROM TESO M.D.
NPI 1558579565
Surgery in Boston, MA
About Dr. Desarom Teso M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DESAROM TESO M.D. (NPI 1558579565) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (231053) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Desarom Teso 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.
Medicare Billing Reassignments
3Medicare enrollment records show Desarom Teso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brighton, CO 80601
- Reassigned Medicare billing, Colorado enrollment
- 165 clinicians in this Medicare group
Brighton, CO 80601
- Reassigned Medicare billing, Colorado enrollment
- 1,270 clinicians in this Medicare group
Aspen, CO 81611
- Reassigned Medicare billing, Colorado enrollment
- 438 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Desarom Teso's NPI number?
The NPI number for Desarom Teso is 1558579565. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Desarom Teso located?
Desarom Teso practices at 750 Washington St Tufts-Nemc #437, Boston, MA 02111. The listed phone number is (617) 636-5891.
What is Desarom Teso's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Desarom Teso enrolled in Medicare?
Yes. Desarom Teso 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 organizations bill Medicare for Desarom Teso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desarom Teso reassigns Medicare benefits to 3 organizations: Platte Valley Medical Group, LLC (Brighton, CO), Intermountain Medical Group Denver, LLC (Brighton, CO) and Intermountain Medical Group Grand Junction, LLC (Aspen, CO). Each 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 Desarom Teso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Desarom Teso accept?
Health plans from Select Health list Desarom Teso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Desarom Teso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Desarom Teso, M.D. · NPI 1558579565
Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1558579565 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 231053 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 750 WASHINGTON ST, TUFTS-NEMC #437, Boston, MA 02111-1526
- **Phone:** (617) 636-5891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Platte Valley Medical Group, LLC (NPI 1275283574, Brighton, CO); Intermountain Medical Group Denver, LLC (NPI 1164195673, Brighton, CO); Intermountain Medical Group Grand Junction, LLC (NPI 1043825516, Aspen, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Hawaii John A. Burns School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1558579565) · Data from the CMS NPPES public registry.