DR. ELISHADIE TEZERA DMD
NPI 1942891270
Dentist - General Practice in Lexington, KY

Active since January 29, 2021PECOS Enrolled
2333 ALEXANDRIA DR, LEXINGTON, KY 40504(877) 277-9892 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Jan 29, 2021 (2 updates tracked since 2021).

About Dr. Elishadie Tezera Dmd NPPES

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

DR. ELISHADIE TEZERA DMD (NPI 1942891270) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (10543) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942891270
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELISHADIE TEZERACredential: DMD
Location Address2333 ALEXANDRIA DRLexington, KY 40504-3215
Mailing AddressPo Box 1278Bardstown, KY 40004-4278
Sole ProprietorNo
Enumeration DateJanuary 29, 2021
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
NPI 1942891270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 10543
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 10543 (KY)
2333 ALEXANDRIA DR, Lexington, KY 40504

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elishadie Tezera Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Community/Behavioral Health
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Dentist
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
In Home Supportive Care
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Behavior Technician
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Behavior Analyst
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Counselor (Mental Health)
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Psychiatry & Neurology (Neurology)
2333 ALEXANDRIA DR
LEXINGTON, KY 40504
Clinic/Center (Medical Specialty)
2333 ALEXANDRIA DR
LEXINGTON, KY 40504

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 Elishadie Tezera's NPI number?

The NPI number for Elishadie Tezera is 1942891270. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Elishadie Tezera located?

Elishadie Tezera practices at 2333 Alexandria Dr, Lexington, KY 40504. The listed phone number is (877) 277-9892.

What is Elishadie Tezera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elishadie Tezera enrolled in Medicare?

Yes. Elishadie Tezera is registered in the Medicare PECOS enrollment system.

What insurance does Elishadie Tezera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BEST Life and 13 other insurers list Elishadie Tezera 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 Elishadie Tezera was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.