Individual provider Active NPI

Teresa Kammerman, MD

  • Pediatrics Physician
  • Beachwood, OH
National Provider Identifier
1316030307
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35055696K Issued in OH
Practice address
2142 Cedarview Dr
Beachwood, OH 44122-1221
Phone
(216) 406-1402
Fax
(216) 475-3816
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35055696K OH Primary

Addresses

Primary practice location

2142 Cedarview Dr
Beachwood, OH 44122-1221

Mailing address

2142 Cedarview Dr
Beachwood, OH 44122-1221
Phone (216) 406-1402

Other practice location 1

3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone (800) 400-6354

Other practice location 2

5350 Transportation Blvd
Garfield Heights, OH 44125-5327
Phone (216) 475-8844

Other identifiers 1

IdentifierTypeStateIssuer
0817290MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055696KOHMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: tkammerman36024@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1316030307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 CEDARVIEW DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221221",
            "telephone_number": "216-406-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 CEDARVIEW DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221221",
            "telephone_number": "216-406-1402",
            "fax_number": "216-475-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 SW 148th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330273259",
            "country_code": "US",
            "telephone_number": "800-400-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5350 Transportation Blvd",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441255327",
            "country_code": "US",
            "telephone_number": "216-475-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERMAN",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35055696K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.