Active NPI
Michael B Teiger, MD
- Pulmonary Disease Physician
- West Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01079333
- Practice address
- 345 N Main St
First FLR
West Hartford, CT 06117-2515 - Phone
- (860) 278-3812
- Fax
- (860) 525-6054
- NPI assigned
- Aug 17, 2006
- Last updated
- Oct 26, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021525 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 021525 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 01079333 | IN | Primary |
Addresses
Primary practice location
345 N Main St
First FLR
West Hartford, CT 06117-2515
Mailing address
345 N Main St
First FLR
West Hartford, CT 06117-2515
Phone (860) 278-3812
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001215250 | Medicaid | CT | |
| 010021525CT02 | Other | CT | ANTHEM BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021525 | CT | MD | Internal Medicine Physician |
| 01079333 | IN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Collins Medical Associates 2 PC | Internal Medicine | Past | Accepting new patients |
| Garden Park Physician Group-Specialty Care, LLC | Past | Accepting new patients |
Locations
2 Northwestern Dr
Bloomfield, CT 06002
Phone 86028632003480
7 Elm St
Ste 202
Enfield, CT 06082
Phone (860) 247-3279
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
162 Mountain Rd
Ste 2
Suffield, CT 06078
Phone (860) 278-3812
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 6
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Internal Medicine
-
dba Pulmonary & Internal Medicine Associates
- Pulmonary Disease Physician
- Bloomfield, CT
- NPI 1952414385
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1912928169
-
- Surgery Physician
- Gulfport, MS
- NPI 1679668958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1245343672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"address_2": "FIRST FLR",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172515",
"telephone_number": "860-278-3812",
"fax_number": "860-525-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"address_2": "FIRST FLR",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172515",
"telephone_number": "860-278-3812",
"fax_number": "860-525-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIGER",
"first_name": "MICHAEL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "021525",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "021525",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01079333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001215250",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "010021525CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.