Peter Tamunoh Teboh, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP7740 Issued in AZ

Practice address

4725 N 152ND Dr
Goodyear, AZ 85395-8394

Phone

(216) 544-5418

NPI assigned

Apr 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Merit-based Incentive Payment System (MIPS)

Final score

89.21 of 100Reported as group

Quality

76.88

Promoting interoperability

76

Improvement activities

40

Cost

73.83

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Zion Medical Group PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1184049322
  Medicare reassignment Care Compare group
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Cares of Zion Behavior Group Home

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1912574989
  NPD Authorized official
• Acs Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
  • NPI 1023759073
  NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Sacaton, AZ
  • NPI 1225023179
  NPD
• Yadwinder S Dhillon MD PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1295964781

  Nurse Practitioner

  NPD (past)
• Equality Health at Home Inc

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1730936329
  NPD (past)

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

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1083000327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958394",
            "telephone_number": "216-544-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958394",
            "telephone_number": "216-544-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBOH",
        "first_name": "PETER",
        "middle_name": "TAMUNOH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP7740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kim Taylor, LPN
• Dolores Taylor
• Katie L Taylor, OTR/L
• Lindsay Taylor, MD
• Teamnp PLLC
• Agelina Techago
• Minkeale Tedla, PA-C
• Shirley Lorraine Temple, MSN-FNP
• Kurt James Tengberg, PA
• Melinda Tenorio, P.T.

• Family Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.