Individual provider Active NPI

Jeffrey Teibel, DPM

  • Podiatrist
  • Spencerport, NY
National Provider Identifier
1356398226
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0005095 Issued in NY
Practice address
85 S Union St
Spencerport, NY 14559-1255
Phone
(585) 721-3668
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0005095 NY Primary

Addresses

Primary practice location

85 S Union St
Spencerport, NY 14559-1255

Mailing address

101 Lincoln Pkwy
East Rochester, NY 14445-1413
Phone (585) 385-9030

Other identifiers 5

IdentifierTypeStateIssuer
000912926001OtherNYBCBS OF WESTERN NY
8131OtherNYBLUE SHIELD
01684064MedicaidNY
100167EQOtherNYPREFERRED CARE
P010005095OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000260 NY Practitioner - Podiatry 5890833511 Reassigns benefits to 2 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Spencerport, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85 S Union St
Spencerport, NY 14559-1255
Phone (585) 385-9030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue7116
Removal or shaving of skin growth450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005095NYMDMental Health Counselor
N0005095NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Current Accepting new patients
Wyoming County CurrentSince Sep 21, 2024 Accepting new patients
Wyoming County Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 22, 2009 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Jeff L Teibel DPM Foot Doctor Podiatrist Current Accepting new patients
Wyoming County CurrentSince Sep 21, 2024 Accepting new patients
The Foot Doctor Podiatrist PastSince May 26, 2015 Accepting new patients

Locations

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1356398226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LINCOLN PKWY",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144451413",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591255",
            "telephone_number": "585-721-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIBEL",
        "first_name": "JEFFREY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0005095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WESTERN NY",
            "identifier": "000912926001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8131",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100167EQ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010005095",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.