Tesfu Hailu, MD
Dermatopathology Physician · Peoria, IL
Tesfu Hailu, MD is a dermatopathology physician with a practice address in Peoria, Illinois, and NPI 1245490382, issued on Jun 12, 2008. Check the license (Illinois 036151973, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Tesfu Hailu
- Credential
- MD
- Primary taxonomy
- Dermatopathology Physician 207ND0900X
- License number
- 036151973 IL
Self-reported in NPPES; status is on the state search - Practice location
- 4909 N Glen Park Place RD, Peoria, IL 61614
- Phone
- (309) 674-7546
- Enumerated
- Jun 12, 2008
- Record last updated
- May 11, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (309) 691-9286
- Medicare enrollment
- Enrolled (PECOS I20200520002349); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest dermatopathology physician records → All 15 in Illinois → Look up another NPI →
Also registered at 4909 N Glen Park Place RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stuart Berryman, PA-CMedical Physician Assistant1093774705
- Sarah Christensen, PA-CMedical Physician Assistant1700209160
- Stephanie Ellis, PAPhysician Assistant1922313238
- Todd Gerlach, MDPlastic Surgery Physician1518046044
- Michael Hayes, D.O.Dermatology Physician1912017245
- James Jeffries, MDPlastic and Reconstructive Surgery Physician1073655676
Verify Tesfu Hailu in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036151973Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Soderstrom Dermatology Center S CDavenport, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tesfu Hailu among 15 dermatopathology physician records in Illinois
Tesfu Hailu, MD is one of 15 dermatopathology physician records with a practice address in Illinois. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 47% of them.
- NPI issued2008 · 47% of these records are older, 47% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1994 · median 2004 among the 10 with a school on file
- Record last updated2020 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ND0900X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatopathology Physician providers in Illinois
There are 15 dermatopathology physician records in Illinois.
All 15 in Illinois → Every provider in Peoria → Dermatopathology Physician nationwide →
The 8 dermatopathology physician records with the nearest ZIP codes
- Carl Soderstrom, M.D.Peoria, IL 616141053370759
- Albert Hudson, MDRockford, IL 611071053391334
- Kyla Price-Jauregui, MDChicago, IL 606371215515176
- Kayla St. Claire, MD, MBAChicago, IL 606371487113270
- Vesna Petronic-Rosic, MDChicago, IL 606121285796730
- Sepideh Asadbeigi, MDChicago, IL 606111073041455
- Joan Guitart, MDChicago, IL 606111225074727
- Sara Kullberg Pearson, MDChicago, IL 606111508445487
Common questions
What is Tesfu Hailu, MD's NPI number?
Tesfu Hailu, MD's National Provider Identifier (NPI) is 1245490382, issued on Jun 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Tesfu Hailu, MD located?
The NPPES record lists a practice address at 4909 N Glen Park Place RD, Peoria, IL, 61614. Phone: (309) 674-7546. Providers update this record themselves, so call before visiting.
How can I verify Tesfu Hailu, MD's license?
NPPES lists Illinois license number 036151973, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Tesfu Hailu, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.