Individual provider Active NPI

Angel Teck, DO

  • Family Medicine Physician
  • Newton, KS
National Provider Identifier
1144380072
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-32177 Issued in KS
Practice address
720 Medical Center Dr
Newton, KS 67114-8778
Phone
(131) 628-3610
Fax
(316) 284-5050
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-32177 KS Primary

Addresses

Primary practice location

720 Medical Center Dr
Newton, KS 67114-8778

Mailing address

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Other identifiers 3

IdentifierTypeStateIssuer
30004334460001MedicaidKS
200417350AMedicaidKS
106034OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20070108000097 KS Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9032119532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Ministries Clinic IncGroup PAC ID 1254330244, 31 clinicians

Practice addresses (Care Compare)

126 Main St
Halstead, KS 67056-1708
Phone (316) 835-3700

720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc. CurrentSince Aug 12, 2017 Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Aug 12, 2017 Accepting new patients
Health Ministries Clinic, Inc Current Accepting new patients
Health Ministries Clinic, Inc. Past Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

700 Medical Center Dr
Newton, KS 67114
Phone (316) 283-7100

700 Medical Center Dr
Ste 101AND102
Newton, KS 67114

700 Medical Center Dr
Ste 101
Newton, KS 67114
Phone (316) 283-0027

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NMC Health Home CareNewton, KS, CCN 177059 Home health agency Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1144380072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "131-628-3610",
            "fax_number": "316-284-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECK",
        "first_name": "ANGEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-32177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004334460001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200417350A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "106034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.