NPIMap

Individual provider Active NPI

Kristine Teodori, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Crown Point, IN
National Provider Identifier
1316943137
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
02002441 Issued in IN
Practice address
300 N Main St Ste D
Crown Point, IN 46307-3281
Phone
(219) 663-4877
Fax
(219) 663-4877
NPI assigned
Jun 27, 2005
Last updated
Jul 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 02002441 IN Primary

Addresses

Primary practice location

300 N Main St Ste D
Crown Point, IN 46307-3281

Mailing address

300 N Main St Ste D
Crown Point, IN 46307-3281
Phone (219) 663-4877

Other identifiers 2

IdentifierTypeStateIssuer
000000721931OtherINANTHEM TRADITIONAL
200492390MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000193 IN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2163482399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Aceso Visiting Physicians and Geriatric Care Inc.Group PAC ID 9133344708, 17 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

300 N Main St
Suite D
Crown Point, IN 46307-3281
Phone (219) 663-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as individual
Quality
86.23
Improvement activities
40
Cost
83.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002441INMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aceso Visiting Physicians and Geriatric Care Inc. Geriatric Medicine CurrentSince Jul 1, 2014 Accepting new patients
St Anthony Medical Center Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Locations

213 S Court St
Ste B
Crown Point, IN 46307
Phone (219) 663-4888

300 N Main St
Ste D
Crown Point, IN 46307
Phone (219) 663-4877

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kteodori4264@direct.franciscanalliance.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lowell HealthcareLowell, IN, CCN 155448 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2019
Apr 17, 2026
Colonial Nursing HomeCrown Point, IN, CCN 155733 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020
Crown Point Health CampusCrown Point, IN, CCN 155637 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2017
Jan 1, 2017
Aperion Care DemotteDemotte, IN, CCN 155572 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2014
May 1, 2014
Cedar Creek Health CampusLowell, IN, CCN 155822 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 15, 2025
Apr 15, 2025
Spring Mill Health CampusMerrillville, IN, CCN 155764 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1316943137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODORI",
        "first_name": "KRISTINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "02002441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL",
            "identifier": "000000721931",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200492390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.