Individual provider Active NPI

Christina Teimouri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaver, PA
National Provider Identifier
1073679908
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004042L Issued in PA
Practice address
500 Market St
Ste 101
Beaver, PA 15009-2998
Phone
(878) 313-3338
Fax
(878) 313-3339
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Valley Foot Clinic PC 4 clinicians

Practice addresses (Care Compare)

500 Market St
Suite 101
Beaver, PA 15009-2998
Phone (878) 313-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue146
Removal of skin lesions57
Removal of nail tissue1361
Removal or shaving of skin growth266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040825000853 PA Practitioner - Podiatry 1456325315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Valley Foot Clinic PC Foot & Ankle Surgery CurrentSince Jan 1, 2005 Accepting new patients
Beaver Valley Foot Clinic PC Foot & Ankle Surgery CurrentSince Nov 18, 2004 Accepting new patients
Beaver Valley Foot Clinic, PC Past Accepting new patients

Locations

447 Maplewood Ave
Ambridge, PA 15003
Phone (724) 775-6188

20555 Route 19
Ste D
Cranberry Twp, PA 16066
Phone (724) 772-3668

20555 Route 19
Cranberry Twp, PA 16066
Phone (724) 776-1079

937 Beaver Grade Rd
Moon Township, PA 15108
Phone (412) 262-4244

500 Market St
Ste 101
West Bridgewater, PA 15009
Phone (878) 313-3338

Interoperability endpoints

  • Direct secure messaging: drteimouri@bvfcandavc.medentdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004042L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Market St
Ste 101
Beaver, PA 15009-2998

Mailing address

PO Box 309
Rochester, PA 15074-0309
Phone (878) 313-3338

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0015190500007MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1073679908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150740309",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "STE 101",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIMOURI",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004042L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015190500007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.