Individual provider Active NPI

Karyn E Teel, MD

  • Ophthalmology Physician
  • Camarillo, CA
National Provider Identifier
1073771697
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A116614 Issued in CA
Practice address
751 E Daily Dr Ste 110
Camarillo, CA 93010-6077
Phone
(805) 987-8705
Fax
(805) 987-7765
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6353636-1205 UT
Ophthalmology Physician 207W00000X MD154063 OR
Ophthalmology Physician 207W00000X OR154063 OR
Ophthalmology Physician 207W00000X 054112 CO
Ophthalmology Physician 207W00000X A116614 CA Primary

Addresses

Primary practice location

751 E Daily Dr Ste 110
Camarillo, CA 93010-6077

Mailing address

75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 688-6205

Other practice location 1

1901 Solar Dr Ste 155
Oxnard, CA 93036-2644
Phone (805) 278-0057

Other practice location 2

3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085

Other practice location 3

77 E Daily Dr Ste 245
Camarillo, CA 93010-5807
Phone (805) 322-1510

Other identifiers 1

IdentifierTypeStateIssuer
500634767MedicaidOR

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
I20120514000459 CA Practitioner - Ophthalmology 9830241793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

Practice addresses (Care Compare)

751 E Daily Dr
Suite 110
Camarillo, CA 93010-6077
Phone (805) 987-8705

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
91.86
Improvement activities
40
Cost
72.05

Merit-based Incentive Payment System (MIPS)

Final score
88.24 of 100Reported as group
Quality
86.17
Improvement activities
40

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 Medicine

State licenses

LicenseStateTypeSpecialty
054112COMDOphthalmology Physician
OR154063ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miramar Eye Specialists Medical Group, Inc Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Thomas S Tooma M D a Professional Corporation Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Thomas S Tooma M D a Professional Corporation Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients

Locations

75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205

751 E Daily Dr
Ste 110
Camarillo, CA 93010
Phone (805) 987-8705

771 E Daily Dr
Ste 245
Camarillo, CA 93010
Phone (805) 322-1510

771 E Daily Dr
Ste 110
Camarillo, CA 93010

4220 Von Karman Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 284-7428

1901 Solar Dr
Ste 155
Oxnard, CA 93036
Phone (805) 278-0057

3085 Loma Vista Rd
Ventura, CA 93003
Phone (805) 583-3950

Interoperability endpoints

  • Direct secure messaging: kteel@direct.mesmg.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1073771697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR STE 110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106077",
            "telephone_number": "805-987-8705",
            "fax_number": "805-987-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Solar Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362644",
            "country_code": "US",
            "telephone_number": "805-278-0057",
            "fax_number": "805-278-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3085 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032916",
            "country_code": "US",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 E Daily Dr Ste 245",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930105807",
            "country_code": "US",
            "telephone_number": "805-322-1510",
            "fax_number": "805-482-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEL",
        "first_name": "KARYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "6353636-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD154063",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "OR154063",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "054112",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A116614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500634767",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.