Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Michael Tedesco, MD

Individual provider Surgery Physician · NPI 1104271782

John Michael Tedesco, MD is a Thoracic Surgery in Scarborough, Maine. Qualified in 2016, 10 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Maine.

Years since qualifying
10
Licensed in
AZ, ME
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Campus Dr Unit 121
Scarborough, ME 04074-7172
Phone: (207) 396-7788
Fax: (207) 396-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 485 S Dobson Rd Ste 100, Chandler, AZ 85224-5603 — (602) 406-4000
  • 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 — (602) 406-4000

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD30744 (ME)
Surgery Physician Taxonomy 208600000X · Licence MD30744 (ME)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 69235 (AZ)

Record details

NPI number1104271782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address100 Campus Dr Unit 121, Scarborough, ME 04074-7172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Scarborough