Individual provider Active NPI

Robert G. Teehan, M.D.

  • Hospitalist Physician
  • Beloit, WI
National Provider Identifier
1366522393
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
39300-20 Issued in WI
Practice address
1969 W. Hart Road
Beloit Memorial Hospital
Beloit, WI 53511-2230
Phone
(608) 363-5971
Fax
(608) 363-5737
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39300 WI
Hospitalist Physician 208M00000X 39300-20 WI Primary

Addresses

Primary practice location

1969 W. Hart Road
Beloit Memorial Hospital
Beloit, WI 53511-2230

Mailing address

1905 E Huebbe Pkwy
Beloit Health System Inc
Beloit, WI 53511-1842
Phone (608) 364-2293

Other identifiers 1

IdentifierTypeStateIssuer
32550600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000210 WI Practitioner - Internal Medicine 5294633384 Reassigns benefits to 3 organizations
I20150106000488 ME Practitioner - Internal Medicine 5294633384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Wisconsin SCGroup PAC ID 2365677952, 42 clinicians

Practice addresses (Care Compare)

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39300WIMDInternal Medicine Physician
39300-20WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 13, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jul 1, 2005 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Mainehealth CurrentSince Dec 9, 2014 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 13, 2019 Accepting new patients
Apogee Medical Group, Wisconsin, S.C Internal Medicine CurrentSince Jul 20, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jul 1, 2005 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2025 E Newport Ave
Milwaukee, WI 53211
Phone (414) 298-6700

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1366522393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "BELOIT HEALTH SYSTEM INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2293",
            "fax_number": "608-364-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W. HART ROAD",
            "address_2": "BELOIT MEMORIAL HOSPITAL",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-363-5971",
            "fax_number": "608-363-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEHAN",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "39300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "39300-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32550600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.