Active NPI
James S Teal, MD
- Diagnostic Radiology Physician
- Washington, DC
National Provider Identifier
1174548374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD25910
- Practice address
- 2041 Georgia Ave NW
Washington, DC 20060-0001 - Phone
- (202) 865-1571
- Fax
- (202) 865-3285
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD25910 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Washington, DC 20060-0001
Mailing address
2024 Georgia Ave NW
Washington, DC 20001-3027
Phone (202) 865-3415
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07248148 | Medicaid | VA | |
| 321511300 | Medicaid | MD | |
| 010924700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University | Diagnostic Radiology | Current | Accepting new patients |
Locations
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2139 Georgia Ave NW
Washington, DC 20001
Phone (202) 865-1121
2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833
Organizations & group practices 1
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": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1174548374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013027",
"telephone_number": "202-865-3415",
"fax_number": "202-865-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-1571",
"fax_number": "202-865-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAL",
"first_name": "JAMES",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DC",
"license": "MD25910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07248148",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321511300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010924700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.