Individual provider Active NPI

Irene Teper, M.D.

  • Internal Medicine Physician
  • Mill Valley, CA
National Provider Identifier
1073584520
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84912 Issued in CA
Practice address
655 Redwood Hwy Frontage Rd Ste 375
Mill Valley, CA 94941-3041
Phone
(415) 212-8332
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84912 CA Primary

Addresses

Primary practice location

655 Redwood Hwy Frontage Rd Ste 375
Mill Valley, CA 94941-3041

Mailing address

655 Redwood Hwy Frontage Rd Ste 375
Mill Valley, CA 94941-3041
Phone (415) 212-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050719000548 CA Practitioner - Internal Medicine 0446287767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

655 Redwood Hwy Frontage Rd
Suite 375
Mill Valley, CA 94941-3041
Phone (415) 212-8332

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • By the Bay Health Hospice, Larkspur, CA, CCN 051508
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84912CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irene Teper MD Inc Internal Medicine CurrentSince Feb 23, 2023 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

655 Redwood Hwy Frontage Rd
Ste 375
Mill Valley, CA 94941
Phone (415) 212-8332

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1050 Northgate Dr
Ste 250
San Rafael, CA 94903
Phone (415) 226-9615

Interoperability endpoints

  • Direct secure messaging: irene.teper.1@14789.direct.athenahealth.com
  • Direct secure messaging: irene.teper@401414000279556.direct.elationemr.com
  • Direct secure messaging: irene.teper.1@28610.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1073584520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 375",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413041",
            "telephone_number": "415-212-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 375",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413041",
            "telephone_number": "415-212-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPER",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.