Active NPI
Robert G. Teehan, M.D.
- Hospitalist Physician
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 39300-20
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32550600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500
Hospital & facility affiliations
- Bellin Memorial Hospital
- Bellin Health Oconto Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39300 | WI | MD | Internal Medicine Physician |
| 39300-20 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Internal Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1558305847
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Clinic/Center
- Wausau, WI
- NPI 1275863557
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.