Individual provider Active NPI

Dana Teller, M.D

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1295154607
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A175895 Issued in CA
Practice address
9339 Genesee Ave Ste 220
San Diego, CA 92121-2196
Phone
(858) 455-1248
Fax
(858) 455-5461
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A175895 CA Primary

Addresses

Primary practice location

9339 Genesee Ave Ste 220
San Diego, CA 92121-2196

Mailing address

9339 Genesee Ave Ste 220
San Diego, CA 92121-2196
Phone (858) 455-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220622001443 CA Practitioner - Obstetrics/Gynecology 7517212889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Igo Medical Group AMCGroup PAC ID 1153394317, 11 clinicians

Practice addresses (Care Compare)

9339 Genesee Ave
Suite 220
San Diego, CA 92121-2121
Phone 8584551248145

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
97.77
Promoting interoperability
100
Improvement activities
40
Cost
73.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175895CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Igo Medical Group AMC Obstetrics & Gynecology CurrentSince Mar 12, 2022 Accepting new patients
Regents of the University of California Past Accepting new patients
Deborah R. Spey, LLC PastSince Apr 1, 2005 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Ucsd Physicians Network - Specialty Care Obstetrics & Gynecology Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1295154607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212196",
            "telephone_number": "858-455-1248",
            "fax_number": "858-455-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212196",
            "telephone_number": "858-455-1248",
            "fax_number": "858-455-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "DANA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A175895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.