Individual provider Active NPI

Richard Andrew Teh, DO

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1346655107
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17313 Issued in CA
Practice address
2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone
(702) 732-6000
Fax
(702) 732-6071
NPI assigned
Jun 30, 2014
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UO4303 FL
Diagnostic Radiology Physician 2085R0202X 17313 CA Primary

Addresses

Primary practice location

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204

Mailing address

3841 Redding Ave
Sacramento, CA 95820-2131
Phone (702) 376-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200721001252 NV Practitioner - Diagnostic Radiology 8325370174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
82.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17313CAMDProfessional Counselor
UO4303FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sdmi, LLC Diagnostic Radiology CurrentSince Jul 6, 2020 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered PastSince Jul 6, 2020 Accepting new patients

Locations

2850 Siena Heights Dr
Henderson, NV 89052

4 Sunset Way
Henderson, NV 89014
Phone (215) 680-3255

4 Sunset Way
Ste D
Henderson, NV 89014

800 N Gibson Rd
Ste 110
Henderson, NV 89011

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

2767 N Tenaya Way
Las Vegas, NV 89128

2950 S Maryland Pkwy
Las Vegas, NV 89109

31 N Nellis Blvd
Las Vegas, NV 89110

6925 N Durango Dr
Las Vegas, NV 89149

7301 Peak Dr
Ste 200
Las Vegas, NV 89128

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

8945 Lindell Rd
Las Vegas, NV 89139

9070 W Post Rd
Las Vegas, NV 89148

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

Organizations & group practices 2

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1346655107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 REDDING AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202131",
            "telephone_number": "702-376-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092204",
            "telephone_number": "702-732-6000",
            "fax_number": "702-732-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEH",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO4303",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "17313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.