Charles Sloan Teeple, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M47071 Issued in TX

Practice address

1900 Medi Park Dr
Amarillo, TX 79106-2104

Phone

(806) 355-9447

Fax

(806) 356-9251

NPI assigned

Nov 2, 2005

Last updated

Nov 2, 2007By the provider in NPPES

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 TX

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

Specialty

Urology

Education

University of Texas Southwestern Medical School at Dallas, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amarillo Urology Associates LLPGroup PAC ID 5890779227, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as individual

Quality

77.59

Promoting interoperability

100

Improvement activities

40

Cost

82.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.teeple.1@15926.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15926/brand/4/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amarillo Urology Associates LLP

  • Specialist
  • Amarillo, TX
  • NPI 1740373976
  Medicare reassignment Care Compare group NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1164413720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591800",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062104",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEPLE",
        "first_name": "CHARLES",
        "middle_name": "SLOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M47071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172393401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Marcus Taylor, M.D.
• TC Amarillo 1 LLC (Texas Care Amarillo)
• Jada L Teafatiller
• April Tebeest, RN
• Ted M. Nicklaus
• Jon Tegtmeier
• Ryan Dane Teichelman, PA-C
• Sarah E Teichelman, NP
• Shayne R Teichelman, NP
• Terresa Teig

• Urology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.