Individual provider Active NPI

Ana Ingeborg Tejero, D.O.

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1043422629
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.1863 Issued in AL
Practice address
1722 Pine St Ste 309
Montgomery, AL 36106
Phone
(334) 262-0342
Fax
(334) 262-0390
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X DO.1863 AL Primary

Addresses

Primary practice location

1722 Pine St Ste 309
Montgomery, AL 36106

Mailing address

1722 Pine St Ste 309
Montgomery, AL 36106-1136
Phone (334) 262-0342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180917001315 AL Practitioner - Internal Medicine 0749325934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Internists of Montgomery, P.C.Group PAC ID 9335131572, 6 clinicians

Practice addresses (Care Compare)

1722 Pine St
Suite 309
Montgomery, AL 36106-1136
Phone (334) 262-0342

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Troy, AL, CCN 017324
  • Acg Hospice -Dothan Hospice, Dothan, AL, CCN 011680
  • Acg Hospice-Enterprise Hospice, Enterprise, AL, CCN 011656
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Internists of Montgomery, P.C. Single Specialty CurrentSince Sep 1, 2018 Accepting new patients

Locations

1722 Pine St
Ste 309
Montgomery, AL 36106
Phone (334) 262-0342

11123 Chantilly Pkwy Ct
Unit L
Pike Road, AL 36064
Phone (334) 270-1151

Interoperability endpoints

  • Direct secure messaging: pcimont@pci.directbygreenway.com
  • Direct secure messaging: anatejero@cqch.cernerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1043422629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 309",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061136",
            "telephone_number": "334-262-0342",
            "fax_number": "334-262-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 309",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-262-0342",
            "fax_number": "334-262-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJERO",
        "first_name": "ANA",
        "middle_name": "INGEBORG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.