Individual provider Active NPI

Miriah Michael Teeter, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Denver, CO
National Provider Identifier
1316141872
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
45751 Issued in CO
Practice address
8101 E Lowry Blvd Ste 210
Denver, CO 80230
Phone
(303) 261-1600
Fax
(303) 261-1601
NPI assigned
Jun 11, 2007
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 45751 CO
Retina Specialist (Ophthalmology) Physician 207WX0107X 45751 CO Primary

Addresses

Primary practice location

8101 E Lowry Blvd Ste 210
Denver, CO 80230

Mailing address

8101 E Lowry Blvd Ste 210
Denver, CO 80230-7195
Phone (303) 261-1600

Other practice location 1

11960 Lioness Way Ste 290
Parker, CO 80134-5640
Phone (303) 261-1600

Other practice location 2

850 Englewood Pkwy Ste 200
Englewood, CO 80110-7399
Phone (303) 261-1600

Other identifiers 1

IdentifierTypeStateIssuer
32134053MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070703000312 CO Practitioner - Ophthalmology 8426158577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Retina Associates, PLLCGroup PAC ID 6002817566, 15 clinicians

Practice addresses (Care Compare)

255 S Routt St
Suite 200
Lakewood, CO 80228-2271
Phone 30326116001862

Merit-based Incentive Payment System (MIPS)

Final score
98.8 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45751COMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Retina Associates, PLLC Ophthalmology CurrentSince Jun 10, 2019 Accepting new patients
Colorado Retina Associates, PLLC Retina Specialist Current Accepting new patients
Colorado Retina Associates, PLLC Retina Specialist CurrentSince Jun 10, 2019 Accepting new patients
Retinal Alliance, PC Past Accepting new patients

Locations

3401 Quebec St
Ste 105
Denver, CO 80207

8101 E Lowry Blvd
Ste 210
Denver, CO 80230
Phone (720) 321-3550

850 Englewood Pkwy
Ste 200
Englewood, CO 80110

360 Peak One Dr
Ste 300
Frisco, CO 80443
Phone (720) 321-8460

1050 W South Boulder Rd
Ste 2100
Lafayette, CO 80026

255 S Routt St
Ste 200
Lakewood, CO 80228
Phone 30326116001862

1501 W Mineral Ave
Ste 200
Littleton, CO 80120

11960 Lioness Way
Ste 290
Parker, CO 80134
Phone 30326116001862

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1316141872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307195",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Lioness Way Ste 290",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Englewood Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801107399",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEETER",
        "first_name": "MIRIAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "45751",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "45751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32134053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.